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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839830/psn-pdfNovember 09, 2022 - Walgreens will stop judging its pharmacy staffers by how fast they work. November 9, 2022 Kaplan A. NBC News. October 27, 2022. https://psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work Suboptimal working conditions are a known contributor to errors in retail pharmacie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840164/psn-pdfNovember 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42974/psn-pdfSeptember 07, 2016 - Chemotherapy drug shortages in pediatric oncology: a consensus statement. September 7, 2016 Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.2013-2946. https://psnet.ahrq.gov/issue/chemotherapy-drug-sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60903/psn-pdfMarch 15, 2023 - AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Chicago, IL: American Medical Association; March 2023. https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey Insurance policies can have consequences that reduce the safety of medical care. This latest version of the study … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35387/psn-pdfSeptember 10, 2009 - A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. September 10, 2009 Carayon P, Gurses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit Care Nurs. 2005;21(5):284-301. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44576/psn-pdfJanuary 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41410/psn-pdfMay 23, 2012 - The World Health Organization '5 moments of hand hygiene': the scientific foundation. May 23, 2012 Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40160/psn-pdfJanuary 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us… -
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-14.htmlNovember 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.14. UTI Team Problem Statement Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Ho…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50457/psn-pdfOctober 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42020/psn-pdfJuly 16, 2013 - Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. July 16, 2013 Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41156/psn-pdfMarch 02, 2012 - The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. March 2, 2012 Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand. 2012;56(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35115/psn-pdfApril 06, 2011 - Factors predictive of intravenous fluid administration errors in Australian surgical care wards. April 6, 2011 Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. https://psnet.ahrq.gov/issue/factors-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72514/psn-pdfNovember 25, 2020 - AI is wrestling with a replication crisis. November 25, 2020 Heaven WD. MIT Technology Review. November 12, 2020. https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis Lack of transparency of research and development processes are thought to undermine the value of artificial intelligence (AI) and trust in i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72652/psn-pdfJanuary 20, 2021 - Textbook of Patient Safety and Clinical Risk Management. January 20, 2021 Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022. https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management Foundations and practical exp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837858/psn-pdfAugust 17, 2022 - Tackling implicit bias in health care. August 17, 2022 Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. https://psnet.ahrq.gov/issue/tackling-implicit-bias-health-care Implicit bias in clinicians can result in diagnostic errors and poor patient outcomes.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44241/psn-pdfNovember 09, 2015 - The overlooked danger of delirium in hospitals. November 9, 2015 Boodman SG. The Atlantic. June 7, 2015. https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses chara… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45777/psn-pdfJanuary 11, 2017 - Disclosure of adverse events in pediatrics. January 11, 2017 McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics Op… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44602/psn-pdfNovember 25, 2015 - Interorganizational complexity and organizational accident risk: a literature review. November 25, 2015 Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. https://psnet.ahrq.gov/issue/interorganizationa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44143/psn-pdfApril 15, 2016 - "First, know thyself": cognition and error in medicine. April 15, 2016 Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine Cognition …
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