-
psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
-
psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - The Unintended Consequences of Florida Medical
Liability Legislation
December 1, 2005
Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
Perspective
Quality health …
-
psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - Standardization of drug concentrations can also be effective in reducing dilution errors. 1 , 5 , 9
-
psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Reducing Errors and Adverse Outcomes Associated with Discharges AMA How can health care professionals
-
psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Solutions
There are two promising approaches to reducing the risk of cognitive error.
-
psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Reducing the complexity of discharge
information takes into greater consideration the limited health
-
psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - June 9, 2011
Reducing catheter-associated bloodstream infections in the pediatric intensive
-
psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - clinical settings, for tasks such as identifying correct surgical sites in
the operating room and reducing
-
psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - thereby takes
significant portions of clinical judgment out of the ordering process, a key step in reducing
-
psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - to ping pong back and forth between
hospitals and postacute care facilities, increasing costs while reducing
-
psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - It's all part of improving the quality of care and reducing harm.
-
psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Artificial Intelligence: System-Level
Considerations
Curated Library
Foundations
Generative artificial intelligence, patient safety and healthcare quality: a review.
Howell MD. BMJ Qual Saf. 2024;33:748-754.
Artificial intelligence (AI) is…
-
psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Nurse Wellbeing and Patient Safety
Download
Share
Facebook
Twitter
Linkedin
Copy URL
Subscribe
Created By: Lorri Zipperer, Cybrarian, AHRQ…
-
psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Anchoring Bias With Critical Implications
June 1, 2015
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
Case Objectives
Appreciate that diagnostic errors are common in primary and ambulatory care.
Define premature clo…
-
psnet.ahrq.gov/node/44724/psn-pdf
November 25, 2015 - What's in your kit? A safety checkup may be in order.
November 25, 2015
Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN :
official publication of the Emergency Department Nurses Association. 2015;41(6):513-5.
doi:10.1016/j.jen.2015.07.001.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - Changing how we think about healthcare improvement.
June 13, 2018
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014.
doi:10.1136/bmj.k2014.
https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
In learning organizations, leadership behavior creates a s…
-
psnet.ahrq.gov/node/40281/psn-pdf
August 25, 2011 - Effects of a clinical pharmacist service on health-related
quality of life and prescribing of drugs: a randomised
controlled trial.
August 25, 2011
Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of
life and prescribing of drugs: a randomised controlled tr…
-
psnet.ahrq.gov/node/34594/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog
Group for Patient Safety: rewarding higher standards.
January 4, 2017
Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety:
rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/45826/psn-pdf
January 18, 2017 - Ensuring staff safety when treating potentially violent
patients.
January 18, 2017
Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA.
2016;316(24):2669-2670. doi:10.1001/jama.2016.18260.
https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…
-
psnet.ahrq.gov/node/44123/psn-pdf
July 11, 2018 - The 2014 John M. Eisenberg Patient Safety and Quality
Awards.
July 11, 2018
Jt Comm J Qual Patient Saf. 2015;41(5):195-211.
https://psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards
Articles in this special issue highlight the achievements of the 2014 John M. Eisenberg Patient Safety and…