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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47645/psn-pdfApril 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40219/psn-pdfDecember 29, 2014 - Cardiac surgery errors: results from the UK National Reporting and Learning System. December 29, 2014 Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43952/psn-pdfMarch 04, 2015 - Improving resident morning sign-out by use of daily events reports. March 4, 2015 Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42468/psn-pdfAugust 07, 2013 - A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. August 7, 2013 Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of volunt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60801/psn-pdfAugust 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the spring. August 12, 2020 Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74128/psn-pdfDecember 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72535/psn-pdfDecember 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60800/psn-pdfJanuary 01, 2021 - Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020 Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34981/psn-pdfJuly 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46336/psn-pdfAugust 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74848/psn-pdfFebruary 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837605/psn-pdfJune 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887. https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45514/psn-pdfNovember 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46384/psn-pdfNovember 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74064/psn-pdfMay 27, 2021 - Achieving zero inequity: lessons learned from patient safety. May 27, 2021 Gandhi TK. NEJM Catalyst. May 27, 2021. https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system. The author… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60604/psn-pdfJune 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47233/psn-pdfNovember 02, 2018 - The STEP-up programme: engaging all staff in patient safety. November 2, 2018 Hamblin-Brown DJ; Ingram J. https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety A transparent and respectful hospital culture is the foundation for improving working conditions to reduce preventable harm. This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35502/psn-pdfMay 27, 2011 - Medication errors: a prospective cohort study of hand- written and computerised physician order entry in the intensive care unit. May 27, 2011 Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45387/psn-pdfAugust 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46524/psn-pdfOctober 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
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