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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42218/psn-pdfJune 10, 2018 - Your high-alert medication list—relatively useless without associated risk-reduction strategies. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5. https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk- reduction This newsletter … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73669/psn-pdfSeptember 01, 2021 - Infection Prevention Compendium For Long-Term Care Facilities. September 1, 2021 Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing. https://psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities Healthcare-associated infections (HAIs) challenge safety in long-te… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764408/psn-pdfMarch 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43912/psn-pdfFebruary 25, 2015 - Patient Safety in Dialysis Access. February 25, 2015 Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051. https://psnet.ahrq.gov/issue/patient-safety-dialysis-access Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This publication raises awa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73926/psn-pdfOctober 06, 2021 - Good for You, Good for Us, Good for Everybody. October 6, 2021 Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has long reduced medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60663/psn-pdfJanuary 01, 2021 - Apology laws and malpractice liability: what have we learned? July 8, 2020 Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46052/psn-pdfDecember 19, 2017 - Correlates of the third victim phenomenon. December 19, 2017 Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1. https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon A sentinel event affects patients, their families, clinicians involved, an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43948/psn-pdfMay 20, 2015 - Human factors engineering: its place and potential in OR safety. May 20, 2015 Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety Human fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73502/psn-pdfJuly 14, 2021 - Toolkit to Improve Antibiotic Use in Long-Term Care. July 14, 2021 Rockville, MD: Agency for Healthcare Research and Quality; June 2021. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care The use of antibiotics should be monitored to reduce the potential for infection in care facilities. Thi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866638/psn-pdfSeptember 04, 2024 - The problem with 'never events'. September 4, 2024 Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. https://psnet.ahrq.gov/issue/problem-never-events Never events are serious, but preventable, adverse events that result in serious pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40430/psn-pdfOctober 18, 2011 - Eliminating CLABSI: A National Patient Safety Imperative. October 18, 2011 Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11- 0037-1-EF. https://psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative This publication reports the impact hospital p… -
digital.ahrq.gov/organization/hunter-collegeJanuary 01, 2023 - Hunter College IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) Description This study assessed an advanced technology-based intervention’s impact on nurse surveillance, improving bedside shift reporting and hourly rounding completion rate…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50595/psn-pdfJanuary 01, 2020 - Clinical reasoning as a core competency. October 30, 2019 Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. https://psnet.ahrq.gov/issue/clinical-reasoning-core-competency Enhancing clinical reasoning skill, particularly amon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33922/psn-pdfAugust 05, 2009 - The importance of cognitive errors in diagnosis and strategies to minimize them. August 5, 2009 Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780. https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862607/psn-pdfFebruary 14, 2024 - Assessing diagnostic performance. February 14, 2024 Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232. https://psnet.ahrq.gov/issue/assessing-diagnostic-performance Assessing diagnostic performance to reduce diagnostic errors requires a sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844060/psn-pdfJune 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41957/psn-pdfMay 04, 2016 - Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. May 4, 2016 Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016. https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance- indu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838027/psn-pdfSeptember 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook. September 7, 2022 Washington DC; National Quality Forum and Anticoagulation Forum; 2022. https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73378/psn-pdfJune 09, 2021 - Making Healthcare Safe: The Story of the Patient Safety Movement. June 9, 2021 Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252. https://psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement The publication of “Error in Medicine” by Dr. Lucian Leape marked a pivotal step … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48170/psn-pdfJuly 31, 2019 - Developing resilience to combat nurse burnout. July 31, 2019 Quick Safety. July 15, 2019;(50):1-4. https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem . Recommendations focus on the role …
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