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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45926/psn-pdfMay 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39257/psn-pdfJanuary 27, 2010 - Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. January 27, 2010 Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010. https://psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordinati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41608/psn-pdfAugust 22, 2012 - Reduction in pediatric identification band errors: a quality collaborative. August 22, 2012 Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. https://psnet.ahrq.gov/issue/reduction-pedia… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41321/psn-pdfApril 25, 2012 - Cognitive balanced model: a conceptual scheme of diagnostic decision making. April 25, 2012 Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. https://psnet.ahrq.gov/issue/cognitive-balanc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40204/psn-pdfApril 14, 2011 - Residents' intentions and actions after patient safety education. April 14, 2011 Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. https://psnet.ahrq.gov/issue/residents-intentions-and-actions-after-pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846165/psn-pdfMarch 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47047/psn-pdfJune 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45336/psn-pdfSeptember 21, 2016 - Medical misdiagnoses put pressure on patients to stay engaged. September 21, 2016 Innes S. Arizona Daily Star. September 12, 2016. https://psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged Delayed diagnoses can have serious consequences. This news article reviews several examples of mis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73480/psn-pdfDecember 17, 2024 - Improving Patient Safety with Human Factors Methods. December 17, 2024 Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods Human factors engineering (HFE) is a primary strategy for advancing safety in healt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37080/psn-pdfOctober 03, 2011 - Pharmacists' perceptions of computerized prescriber- order-entry systems. October 3, 2011 Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber- order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. https://psnet.ahrq.gov/issue/pharmacists-perceptions-co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44678/psn-pdfJuly 05, 2017 - Patient Safety Risk Management Playbook. July 5, 2017 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook Proactive risk management is an important component to improving the safety of care. Exploring principles of high reliabilit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41931/psn-pdfDecember 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60563/psn-pdfJune 03, 2020 - ‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. June 3, 2020 Andrews M. Kaiser News Network. May 19, 2020. https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths Post-mortem examination is an important tool for determining if misdiagnos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43151/psn-pdfApril 30, 2014 - Open for Better Care. April 30, 2014 Health Quality & Safety Commission New Zealand. https://psnet.ahrq.gov/issue/open-better-care This Web site hosts tools and resources associated with a national campaign to augment patient care. The initiative aims to build collaborative programs across New Zealand to reduce fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867648/psn-pdfJanuary 01, 2023 - Opioid Taskforce Playbook. January 1, 2023 College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook. https://psnet.ahrq.gov/issue/opioid-taskforce-playbook Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids. This Opioid Playbo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45990/psn-pdfAugust 24, 2022 - Medication Safety Certificate Program. August 24, 2022 American Society of Health-System Pharmacists, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/medication-safety-certificate-program Leadership commitment to reduce medication errors can help address this safety problem. This certificate … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42951/psn-pdfSeptember 16, 2014 - Novel approach to cardiac alarm management on telemetry units. September 16, 2014 Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. https://psnet.ahrq.gov/issue/novel-approach-cardiac-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40765/psn-pdfSeptember 14, 2011 - Medication errors reported in a pediatric intensive care unit for oncologic patients. September 14, 2011 Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b013e3182064a6a. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42460/psn-pdfJuly 31, 2013 - Effectiveness of the surgical safety checklist in a high standard care environment. July 31, 2013 Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36261/psn-pdfAugust 04, 2009 - Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. August 4, 2009 Sage WM. Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. Acad Med. 2006;81(9):823-6. https://psnet.ahrq.gov/i…
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