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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851654/psn-pdfJuly 26, 2023 - Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. July 26, 2023 Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Intensive Crit Care Nurs. 2023;77:10340… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73075/psn-pdfMarch 24, 2021 - Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6. https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety- challenges Skin patches are a conveni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73148/psn-pdfApril 14, 2021 - 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. April 14, 2021 Jurecko L. Consult QD. March 16, 2021. https://psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers- and-engage Leadership a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43324/psn-pdfJuly 23, 2014 - Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. July 23, 2014 Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40654/psn-pdfJanuary 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73706/psn-pdfSeptember 15, 2021 - A meta-review of methods of measuring and monitoring safety in primary care. September 15, 2021 O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. https://psnet.ahrq.gov/issue/me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43556/psn-pdfDecember 19, 2014 - Establishing a safe container for learning in simulation: the role of the presimulation briefing. December 19, 2014 Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. doi:10.1097/SIH.0000000000000047. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45173/psn-pdfNovember 18, 2016 - Impact of hospital-acquired conditions on financial liabilities for Medicare patients. November 18, 2016 Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47881/psn-pdfJuly 10, 2019 - Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. July 10, 2019 Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9783319932231. https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking- medicine Cogni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854379/psn-pdfOctober 11, 2023 - The limits of psychological safety: nonlinear relationships with performance. October 11, 2023 Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. https://psnet.ahrq.gov/issue/li… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838030/psn-pdfSeptember 07, 2022 - Rethinking use of air-safety principles to reduce fatal hospital errors. September 7, 2022 Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors The safety of co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46248/psn-pdfOctober 23, 2018 - Medical errors, malpractice, and defensive medicine: an ill-fated triad. October 23, 2018 Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. https://psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45018/psn-pdfNovember 18, 2016 - Identifying risk in the use of tumor markers to improve patient safety. November 18, 2016 Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015-0760. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44682/psn-pdfMarch 15, 2016 - On resident duty hour restrictions and neurosurgical training: review of the literature. March 15, 2016 Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS142796. https://psnet.ahrq.gov/issue/r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38781/psn-pdfJuly 15, 2009 - Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. July 15, 2009 Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. J Emerg Trauma Shock. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46392/psn-pdfOctober 13, 2018 - The clinical and medicolegal implications of radiology results communication. October 13, 2018 Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34062/psn-pdfFebruary 18, 2011 - Adverse drug events in ambulatory care. February 18, 2011 Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care This prospective cohort study evaluated more than 1200 outpatient prescr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848383/psn-pdfMay 03, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice. May 3, 2023 Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2023. AHRQ Publication No. 23-0025. https://psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-pr… -
www.ahrq.gov/talkingquality/assess/index.htmlSeptember 01, 2019 - Assess Your Health Care Quality Reporting Project Reporting comparative quality information to consumers is typically not a one-time event but an ongoing activity. For this reason, evaluation is a key part of your work, an aspect that has to be thought about and, in some cases, acted upon from the outset. An …
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www.ahrq.gov/hai/tools/enhanced-recovery/overview.htmlJune 01, 2023 - Overview Tools and Resources To Help Hospitals Choose an ISCR Program This section gives a high-level overview of the Improving Surgical Care and Recovery (ISCR) program to support hospitals in implementing evidence-based enhanced recovery pathways. The Overview lists the tools and materials, organized in the…
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