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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42925/psn-pdfFebruary 05, 2014 - Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. February 5, 2014 Hamilton DK, Stichler JF, eds. HERD. 2013;7(suppl):1-154. https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare- associated Articles in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34979/psn-pdfJune 22, 2009 - The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? June 22, 2009 Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. https://psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-negle… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40490/psn-pdfJune 01, 2011 - Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. June 1, 2011 Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. Pediatric Critical Care Medicine. 2010… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35470/psn-pdfJuly 10, 2008 - Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. July 10, 2008 Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 2005;165(19):2293-8. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41296/psn-pdfApril 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45236/psn-pdfJune 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. June 15, 2016 Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016. https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel- report Cataract surg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48145/psn-pdfJuly 17, 2019 - Mental mayhem: the peril of multitasking in medicine. July 17, 2019 Joseph R; Harry E. https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851059/psn-pdfJune 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74859/psn-pdfFebruary 23, 2022 - Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. February 23, 2022 doi:http://doi.org/10.23750/abm.v92iS2.11507. https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors- p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39993/psn-pdfJuly 03, 2014 - The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. July 3, 2014 Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and patient safety efforts in infection prev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39185/psn-pdfJanuary 06, 2010 - Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. January 6, 2010 Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843095/psn-pdfJanuary 25, 2023 - Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. January 25, 2023 Sentinel Event Alert. January 17, 2023:(66):1-5. https://psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity- pregnant-and Racial and ethnic in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45586/psn-pdfNovember 02, 2016 - Antimicrobial stewardship and patient safety. November 2, 2016 Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety Antimicrobial stewardship has been highlighted as a strate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858323/psn-pdfDecember 13, 2023 - Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. December 13, 2023 O'Neill E. Health Shots. National Public Radio. December 2, 2023. https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus on one element o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44152/psn-pdfNovember 06, 2015 - Infection Prevention. November 6, 2015 Allen G, ed. AORN J. 2015;101:505-596. https://psnet.ahrq.gov/issue/infection-prevention A primary concern in the perioperative setting is the prevention of health care–associated infections, particularly surgical site infections. Articles in this special issue explore strate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46081/psn-pdfApril 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42985/psn-pdfFebruary 26, 2014 - Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. February 26, 2014 Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. https://psnet.ahrq.gov/issue/confusion-specimen-mix… -
digital.ahrq.gov/technology/digital-scribeJanuary 01, 2023 - Digital Scribe Assessing the Effects of EHR Optimization Interventions in Primary Care Description This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial intelli…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867450/psn-pdfJanuary 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C… -
Guide Promotional Postcard (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdfApril 01, 2018 - Guide Promotional Postcard Did you know...Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event An estimated …
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