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In Conversation with…Vineet Arora, MD, MA | PSNet

psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma

March 01, 2011 - The scope of the report included handovers that occur at change of shift, as well as change of service … All of the studies concerned change of shift handovers; none focused on change of service. … The Veterans Affairs shift change physician-to-physician handoff project. … Have a formal plan for handover at change of shift and change of service 2. … Document the new responsible physician after a service change 4.

Drug Shortages. | PSNet

psnet.ahrq.gov/issue/drug-shortages

April 08, 2020 - Copy Citation Related Resources From the Same Author(s) FDA alerts patients … October 3, 2017 MedWatch: The FDA Safety Information and Adverse Event Reporting Program … March 4, 2015 Quick Tips for Buying Medicines Over the Internet. … July 31, 2012 Getting the Medicines Right. … November 19, 2008 View More See More About The Topic Health Care Providers

Medicines in My Home. | PSNet

psnet.ahrq.gov/issue/medicines-my-home

May 04, 2015 - This website provides educational materials for middle school teachers and students on the safe use of … over-the-counter medications. … Copy Citation Related Resources From the Same Author(s) Benzocaine sprays … November 7, 2012 Quick Tips for Buying Medicines Over the Internet. … Lethal Cap March 1, 2004 View More See More About The

Scottish Audit of Surgical Mortality. | PSNet

psnet.ahrq.gov/issue/scottish-audit-surgical-mortality

September 13, 2017 - The Scottish Audit of Surgical Mortality (SASM) facilitates the peer review of all surgical deaths in … April 10, 2019 The use of report cards and outcome measurements to improve the safety … September 26, 2012 Effects of the introduction of the WHO "Surgical Safety Checklist" … January 4, 2012 The attitudes and beliefs of healthcare professionals on the causes and … June 23, 2009 Surgical skill is predicted by the ability to detect errors.

Human Factors and Technology in the ICU. | PSNet

psnet.ahrq.gov/issue/human-factors-and-technology-icu

June 30, 2010 - Citation Text: Human Factors and Technology in the ICU. Wung SF, ed. … View more articles from the same authors. … Care teams rely on a variety of technologies to support safe practice . … November 26, 2008 Designing for Safety in the ICU. … June 12, 2013 The nurses' experience of barriers to safe practice in the neonatal intensive

WARNING health IT may be hazardous to your healthcare. | PSNet

psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare

July 30, 2008 - View more articles from the same authors. … This article relates the development of a taxonomy that hospitals and vendors can use to detect, sort … The author describes a plan to integrate the tool into the Patient Safety Organization reporting … July 31, 2019 On the Edge: Nursing in the Age of Complexity. … May 22, 2015 Clinical ICT Systems in the Victorian Public Health Sector.

Care transitions know-how not just for clinicians. | PSNet

psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians

May 09, 2018 - View more articles from the same authors. Transitions are an error-prone process . … such as the I-PASS program . … of care from the hospital to the primary care clinic. … July 10, 2017 High-reliability and the I-PASS communication tool. … March 30, 2016 The most crucial half-hour at a hospital: the shift change.

Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. | PSNet

psnet.ahrq.gov/issue/communication-nurses-how-prevent-harmful-events-and-promote-patient-safety

January 04, 2017 - Copy Citation Related Resources From the Same Author(s) The Fifth Discipline … : The Art & Practice of The Learning Organization. … : a review of the literature. … November 4, 2015 The ins and outs of change of shift handoffs between nurses: a communication … July 8, 2009 On the Edge: Nursing in the Age of Complexity.

Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. | PSNet

psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards

March 10, 2025 - View more articles from the same authors. … February 4, 2009 The REPAIR Project. … May 6, 2016 Report on the Medical Insurance Feasibility Study. … October 14, 2015 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change … Health Care from the Inside Out.

MedWatch: The FDA Safety Information and Adverse Event Reporting Program. | PSNet

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April 08, 2020 - Multi-use Website MedWatch: The FDA Safety Information and Adverse Event Reporting … Citation Text: MedWatch: The FDA Safety Information and Adverse Event Reporting Program. … The site shares safety information about medications and medical products that are regulated by the Food … US Food and Drug Administration Copy Citation Related Resources From the Same Author … October 3, 2017 Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety

MedWatch E-list. | PSNet

psnet.ahrq.gov/issue/medwatch-e-list

September 29, 2010 - Joining this forum will assist subscribers in keeping aware of safety alerts issued by the U.S. … Copy Citation Related Resources From the Same Author(s) New dosing recommendations … November 19, 2014 Examining the Copy and Paste Function in the Use of Electronic Health … May 21, 2014 Quick Tips for Buying Medicines Over the Internet. … November 19, 2008 View More See More About The Topic Health Care Providers

Wristband Color Standardization. | PSNet

psnet.ahrq.gov/issue/wristband-color-standardization

October 25, 2013 - This website offers information and a toolkit regarding standardizing the colors of wristbands, stickers … Copy Citation Related Resources From the Same Author(s) HealthGrades Quality … October 25, 2013 Meeting the Challenge of Patient Safety in the Ambulatory Care Setting … February 17, 2021 The impact of an electronic alert to reduce the risk of co-prescription … May 27, 2020 Safeguarding the storage of drug products.

After Harm: Medical Error and the Ethics of Forgiveness. | PSNet

psnet.ahrq.gov/issue/after-harm-medical-error-and-ethics-forgiveness

July 24, 2019 - View more articles from the same authors. … The author draws from theological, ethical, religious, and cultural foundations to understand the actions … of a facility policy and organizational culture change. … September 29, 2017 In support of the medical apology: the nonlegal arguments. … May 7, 2007 The influence of the causes and contexts of medical errors on emergency medicine

Ethical aspects of limiting residents' work hours. | PSNet

psnet.ahrq.gov/issue/ethical-aspects-limiting-residents-work-hours

November 17, 2021 - The author considers how to effectively regulate physician working hours and stay within the ethical … Same Author(s) Surgical teams' attitudes about surgical safety and the surgical safety … good, the bad, and the improvements. … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." … April 21, 2011 The response of the APPD, CoPS and AAP to the Institute of Medicine report

Why doctors still offer treatments that may not help. | PSNet

psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help

July 20, 2016 - The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient … regarding their effectiveness and provides examples of how this problem can result in harm, such as the … Copy Citation Related Resources From the Same Author(s) Using the web or … September 5, 2012 The phantom menace of sleep-deprived doctors. … October 24, 2018 Changing dynamics of the drug overdose epidemic in the United States

Medical error reporting system still a year off. | PSNet

psnet.ahrq.gov/issue/medical-error-reporting-system-still-year

July 10, 2013 - View more articles from the same authors. … This article reports on the progress of implementing a voluntary system for reporting errors, part of … the Patient Safety and Quality Improvement Act . … March 21, 2018 Suicide risk, changing jobs, or leaving the nursing profession in the … January 18, 2006 USP initiatives for the safe use of medical gases.

Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet

psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006

August 06, 2008 - View more articles from the same authors. … July 2, 2008 The Francis Report: One Year On. … October 3, 2017 Wrong-site orthopedic operations on the extremities: the Pennsylvania … by the American Board of Orthopaedic Surgery. … March 29, 2012 The pain of wrong site surgery.

First, protect the patient from harm: applying adult learning principles to patient safety. | PSNet

psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety

June 09, 2011 - Newspaper/Magazine Article First, protect the patient from harm: applying adult learning … View more articles from the same authors. … events: the "When Things Go Wrong" curriculum. … May 25, 2011 Information needs in operating room teams: what is right, what is wrong, … of the Committee on Technology.

NHS Improvement. | PSNet

psnet.ahrq.gov/issue/nhs-improvement

April 15, 2020 - The National Health Service (NHS) has been a global leader in patient safety improvement since the publication … This government resource combines several NHS initiatives—such as the National Reporting and Learning … System , Critical Incident Framework and the Advancing Change Team—to oversee and provide support for … August 31, 2022 National statutory reporting: not even ticking the boxes? … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020

Patient Safety | PSNet

psnet.ahrq.gov/issue/patient-safety-21

October 14, 2020 - Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical … for the Long Haul. … September 28, 2022 The development and piloting of the Ambulatory Electronic Health Record … for the Long Haul. … The Report of the Independent Medicines and Medical Devices Safety Review.

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