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Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet

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October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…

Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or

October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Citation Text: Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …

National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. | PSNet

psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts

December 24, 2008 - Book/Report National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. Citation Text: National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…

Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

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June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

The Charter on Professionalism for Health Care Organizations. | PSNet

psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations

May 25, 2016 - Commentary The Charter on Professionalism for Health Care Organizations. Citation Text: Egener BE, Mason DJ, McDonald WJ, et al. The Charter on Professionalism for Health Care Organizations. Acad Med. 2017;92(8):1091-1099. doi:10.1097/ACM.0000000000001561. Copy Citation Format: …

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. | PSNet

psnet.ahrq.gov/issue/variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit

March 02, 2011 - Study Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Citation Text: Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…

Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. | PSNet

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November 01, 2017 - Commentary Emerging Classic Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. Citation Text: Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…

Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet

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July 23, 2010 - Commentary Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. Citation Text: Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …

Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. | PSNet

psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation

July 14, 2010 - Commentary Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. Citation Text: Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…

Wear face masks with no metal during MRI exams. | PSNet

psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams

April 08, 2020 - Press Release/Announcement Wear face masks with no metal during MRI exams. Citation Text: Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. Copy Citation …

Comparing trainee and staff perceptions of patient safety culture. | PSNet

psnet.ahrq.gov/issue/comparing-trainee-and-staff-perceptions-patient-safety-culture

February 15, 2017 - Study Comparing trainee and staff perceptions of patient safety culture. Citation Text: Bump GM, Coots N, Liberi CA, et al. Comparing Trainee and Staff Perceptions of Patient Safety Culture. Acad Med. 2017;92(1):116-122. doi:10.1097/ACM.0000000000001255. Copy Citation Format: …

Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. | PSNet

psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge

July 17, 2024 - Commentary Emerging Classic Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. Citation Text: Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…

Promoting health care safety through training high reliability teams. | PSNet

psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams

January 06, 2018 - Commentary Promoting health care safety through training high reliability teams. Citation Text: Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. Copy Citation Format: …

Fentanyl transdermal system (marketed as Duragesic) information. | PSNet

psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches

August 12, 2015 - Government Resource Fentanyl transdermal system (marketed as Duragesic) information. Citation Text: Fentanyl transdermal system (marketed as Duragesic) information. US Food and Drug Administration. MedWatch. July 10, 2015. Copy Citation Save Save to your library…

Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign

November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

The impact of duty hours on resident self reports of errors. | PSNet

psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors

October 28, 2009 - Study The impact of duty hours on resident self reports of errors. Citation Text: Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. Copy Citation Format: Google Scholar PubMed BibTe…

Teaching a 'good' ward round. | PSNet

psnet.ahrq.gov/issue/teaching-good-ward-round

October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-teamwork-training-program-triad-optimal-patient-safety-tops-experience

February 12, 2018 - Study A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. Citation Text: Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 200…

Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet

psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings

August 03, 2022 - Review Safe care for pediatric patients: a scoping review across multiple health care settings. Citation Text: Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.11…

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