-
psnet.ahrq.gov/node/72796/psn-pdf
March 03, 2021 - Patient safety. Factors for and perceived consequences
of nursing errors by nursing staff in home care services.
March 3, 2021
Jachan DE, Müller?Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of
nursing errors by nursing staff in home care services. Nurs Open. 2021;8(2):755-765.
doi:1…
-
psnet.ahrq.gov/node/46681/psn-pdf
April 16, 2018 - Trainee autonomy and patient safety.
April 16, 2018
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg.
2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
Reduced resident work hours and insufficient senior surgeon…
-
psnet.ahrq.gov/node/43022/psn-pdf
May 29, 2014 - Using simulation to improve root cause analysis of
adverse surgical outcomes.
May 29, 2014
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical
outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
https://psnet.ahrq.gov/issue/using-sim…
-
psnet.ahrq.gov/node/61003/psn-pdf
October 07, 2020 - Making Complaints Count: Supporting Complaints
Handling in the NHS and UK Government Departments.
October 7, 2020
Manchester, UK: The Parliamentary and Health Service Ombudsman; July 15, 2020. ISBN
9781528620666.
https://psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-
gover…
-
psnet.ahrq.gov/node/42635/psn-pdf
December 06, 2013 - Improving disclosure and management of medical
error—an opportunity to transform the surgeons of
tomorrow.
December 6, 2013
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to
transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
-
psnet.ahrq.gov/node/39428/psn-pdf
April 07, 2010 - Critical incidents related to cardiac arrests reported to the
Danish Patient Safety Database.
April 7, 2010
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish
Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018.
h…
-
psnet.ahrq.gov/node/39062/psn-pdf
November 11, 2009 - Ensuring patient safety through effective leadership
behaviour: a literature review.
November 11, 2009
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature
review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
https://psnet.ahrq.gov/issue/ensuring-patient-…
-
psnet.ahrq.gov/node/38867/psn-pdf
March 01, 2011 - Management of anesthesia equipment failure: a
simulation-based resident skill assessment.
March 1, 2011
Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-
Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2).
doi:10.1213/ane.0b013e3181aa3079.
https:/…
-
psnet.ahrq.gov/node/35598/psn-pdf
July 10, 2008 - Residents report on adverse events and their causes.
July 10, 2008
Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern
Med. 2005;165(22):2607-13.
https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
This survey demonstrated that more tha…
-
psnet.ahrq.gov/node/43610/psn-pdf
October 15, 2014 - Preventing medication errors in neonatology: is it a
dream?
October 15, 2014
Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr.
2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37.
https://psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
Discuss…
-
psnet.ahrq.gov/node/860397/psn-pdf
January 10, 2024 - MRI safety: prepare for new guidance.
January 10, 2024
Gilk T. Appl Radiol. 2023;52(6):24-26.
https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital
and ambulatory scanning environments. This article …
-
psnet.ahrq.gov/node/43350/psn-pdf
August 02, 2015 - Clinical questions raised by clinicians at the point of care:
a systematic review.
August 2, 2015
Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a
systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014.368.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/46963/psn-pdf
April 18, 2018 - A Just Culture Guide.
April 18, 2018
NHS Improvement. London, UK: National Health Service; March 15, 2018.
https://psnet.ahrq.gov/issue/just-culture-guide
Although focusing on system failure has been highlighted as key to improving patient safety, individual
behaviors must also be recognized as contributors to ris…
-
psnet.ahrq.gov/node/42872/psn-pdf
December 30, 2014 - Errors in after-hours phone consultations: a simulation
study.
December 30, 2014
Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ
Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243.
https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
-
psnet.ahrq.gov/node/43291/psn-pdf
June 25, 2014 - The interpretability of doctor identification badges in UK
hospitals: a survey of nurses and patients.
June 25, 2014
Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK
hospitals: a survey of nurses and patients. BMJ Qual Saf. 2014;23(7):543-7. doi:10.1136/bmjqs-2…
-
psnet.ahrq.gov/node/73539/psn-pdf
July 28, 2021 - Developing critical thinking skills for delivering optimal
care
July 28, 2021
Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern
Med J. 2021;51(4):488-493. doi:10.1111/imj.15272.
https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o…
-
psnet.ahrq.gov/node/43740/psn-pdf
December 10, 2014 - Participation in EHR based simulation improves
recognition of patient safety issues.
December 10, 2014
Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition
of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-224.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/61054/psn-pdf
October 21, 2020 - The optimal use of telehealth to deliver safe patient care.
October 21, 2020
Quick Safety. October 6, 2020;55:1-4.
https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to
COVID-19 phys…
-
psnet.ahrq.gov/node/39042/psn-pdf
July 13, 2010 - Global oximetry: an international anaesthesia quality
improvement project.
July 13, 2010
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement
project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
https://psnet.ahrq.gov/issue/global-oxim…
-
psnet.ahrq.gov/node/44107/psn-pdf
August 15, 2016 - Patient safety and end-of-life care: common issues,
perspectives, and strategies for improving care.
August 15, 2016
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving
Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/1049909115581847.
https://psnet.ahrq…