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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74229/psn-pdfJanuary 12, 2022 - A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. January 12, 2022 Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848359/psn-pdfMay 03, 2023 - Medical line entanglement: the unspoken patient safety hazard of medical devices. May 3, 2023 Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. https://psnet.ahrq.gov/issue/medical-line-enta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73188/psn-pdfApril 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865709/psn-pdfMay 01, 2024 - Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. May 1, 2024 Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum Factors. 2024;11:e50676. doi:10.219… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46874/psn-pdfMarch 21, 2018 - Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. March 21, 2018 Dynan L, Goudie A, Brady PW. Pediatric Adverse Event Rates Associated With Inexperience in Teaching Hospitals: A Multilevel Analysis. J Healthc Qual. 2018;40(2):69-78. doi:10.1097/JHQ.000000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42419/psn-pdfJuly 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46627/psn-pdfJanuary 30, 2018 - The lost art of doctoring: reflections of a pediatric resident. January 30, 2018 Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident There are… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47942/psn-pdfJuly 01, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports. July 1, 2019 Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124. https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights- patient-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35324/psn-pdfFebruary 03, 2011 - Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. February 3, 2011 Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866744/psn-pdfSeptember 18, 2024 - Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona. September 18, 2024 Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical Emergency At The Carl T. Hayden Va Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44857/psn-pdfMarch 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. March 23, 2016 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016. https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste Electronic health records have potential to improve health … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854825/psn-pdfOctober 25, 2023 - Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023 Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. J Patient Saf. 2023;19(8… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60030/psn-pdfMarch 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34849/psn-pdfMay 14, 2012 - The end of the beginning: patient safety five years after 'To Err Is Human.' May 14, 2012 Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45479/psn-pdfOctober 08, 2016 - Physician understanding and ability to communicate harms and benefits of common medical treatments. October 8, 2016 Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567. doi:10.1001/jamainternmed.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46738/psn-pdfFebruary 28, 2018 - Safe care for pediatric patients: a scoping review across multiple health care settings. February 28, 2018 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:10.1177/0009922817691820. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45746/psn-pdfDecember 14, 2016 - Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016 Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39709/psn-pdfSeptember 20, 2011 - A systems approach to morbidity and mortality conference. September 20, 2011 Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837434/psn-pdfJune 15, 2022 - ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. June 15, 2022 Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. Am J Health Syst Ph… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35032/psn-pdfFebruary 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian …
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