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  1. Best practices in medication administration: preventing adverse drug events in perinatal settings. | PSNet

    psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
    July 16, 2009 - 2009 Prevalence, nature, severity and preventability of adverse drug events in mental health … settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … 24, 2022 Frequency and nature of medication errors and adverse drug events in mental health

  2. Can teaching medical students to investigate medication errors change their attitudes towards patient safety? | PSNet

    psnet.ahrq.gov/issue/can-teaching-medical-students-investigate-medication-errors-change-their-attitudes-towards
    August 14, 2014 - State-mandated hospital infection reporting is not associated with decreased pediatric health … September 20, 2011 Creating a high-reliability health care system: improving performance … , 2010 Description and evaluation of an interprofessional patient safety course for health

  3. Safer out of hours primary care. | PSNet

    psnet.ahrq.gov/issue/safer-out-hours-primary-care
    March 14, 2022 - February 2, 2011 Microsystems in health care: Part 2. … April 4, 2012 Medicines reconciliation using a shared electronic health care record. … 2008 View More See More About The Topic Ambulatory Clinic or Office Health

  4. Improving teamwork on general medical units: when teams do not work face-to-face. | PSNet

    psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
    June 12, 2013 - January 12, 2022 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … The influence of organizational factors on patient safety: examining successful handoffs in health … October 15, 2008 View More See More About The Topic Hospitals Health

  5. Development of a rating system for surgeons' non-technical skills. | PSNet

    psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
    June 12, 2008 - September 27, 2010 Measuring safety climate in health care. … March 28, 2011 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health

  6. A systematic review of factors that enable psychological safety in healthcare teams. | PSNet

    psnet.ahrq.gov/issue/systematic-review-factors-enable-psychological-safety-healthcare-teams
    October 28, 2020 - Int J Qual Health Care. 2020;32(4):240-250. doi:10.1093/intqhc/mzaa025. … Int J Qual Health Care . 2020; 32 (4) :240-250 . … Int J Qual Health Care. 2020;32(4):240-250. doi:10.1093/intqhc/mzaa025.

  7. Medication orders with future start dates: how far away is too far? | PSNet

    psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
    March 15, 2022 - Human errors that occur while interacting with electronic health record (EHR) systems can impact patients … April 20, 2022 Emergency preparedness: be ready for unanticipated electronic health record … Safety March 29, 2023 Development and pilot evaluation of an electronic health

  8. Prescribing errors resulting in adverse drug events: how can they be prevented? | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
    May 10, 2023 - September 28, 2016 Prevalence, nature and predictors of omitted medication doses in mental health … May 19, 2018 What causes medication administration errors in a mental health hospital … See More About The Topic Hospitals Outpatient Pharmacy Physicians Pharmacists Health

  9. Positive deviance: a new tool for infection prevention and patient safety. | PSNet

    psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
    March 09, 2022 - April 12, 2019 Guidance for health care leaders during the recovery stage of the COVID … July 21, 2010 Health-Care-Associated Infections in Hospitals: An Overview of State Reporting … October 15, 2008 View More See More About The Topic Hospitals Health

  10. Overcoming human barriers to safety event reporting in radiology. | PSNet

    psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
    February 09, 2022 - This review examines human characteristics that affect the ability of health care workers to report safety … September 1, 2004 View More See More About The Topic Hospitals Health … Care Providers Health Care Executives and Administrators Radiology Nonsurgical Procedural Complications

  11. Inpatient suicide: preventing a common sentinel event. | PSNet

    psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
    May 28, 2015 - The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health … Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health … September 19, 2016 View More See More About The Topic Hospitals Health

  12. Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. | PSNet

    psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
    October 29, 2008 - Washington, DC: US Department of Health and Human Services; July 2017. Report No. … Washington, DC: US Department of Health and Human Services; July 2017. Report No. … Washington, DC: US Department of Health and Human Services; July 2017. Report No.

  13. Interventions for postsurgical opioid prescribing: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
    October 03, 2012 - A Learning Health System Approach to the Opioid Crisis. … Organizational-level interventions such as changing orders in the electronic health record , demonstrated … A Learning Health System Approach to the Opioid Crisis.

  14. More to teamwork than knowledge, skill and attitude. | PSNet

    psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - May 25, 2011 Enhancing psychological safety in mental health services. … June 19, 2019 Managing disruptive behaviors in the health care setting: focus on obstetrics … November 4, 2009 View More See More About The Topic Labor and Delivery Health

  15. Simulation based adverse event reporting system: development and feasibility. | PSNet

    psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
    July 08, 2020 - December 15, 2014 Health system redesign of cardiac monitoring oversight to optimize … December 14, 2022 Using a potentially aggressive/violent patient huddle to improve health … November 30, 2022 Creating psychological safety in interprofessional simulation for health

  16. Intolerance of error and culture of blame drive medical excess. | PSNet

    psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
    March 24, 2017 - how the application of financial structures to safety and quality can drive accountability in a large health … The Evolution of Root Cause Analysis February 26, 2025 National Plan for Health … November 6, 2013 View More See More About The Topic Health Care Providers

  17. Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. | PSNet

    psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
    January 31, 2024 - Author(s) The impact of nursing practice environments on patient safety culture in primary health … February 26, 2020 A systematic review of team training in health care: ten questions. … 2022 Root cause analysis of adverse events involving opioid overdoses in the Veterans Health

  18. The top 10 list for a safe and effective sign-out. | PSNet

    psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - February 19, 2014 Guidance for health care leaders during the recovery stage of the COVID … July 28, 2021 The I-READI quality and safety framework: a health system’s response to … September 1, 2006 View More See More About The Topic Operating Room Health

  19. Reducing warfarin medication interactions: an interrupted time series evaluation. | PSNet

    psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
    May 27, 2011 - April 14, 2011 Problem list completeness in electronic health records: a multi-site study … October 13, 2015 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … April 27, 2011 View More See More About The Topic Hospitals Health

  20. Improving care teams' functioning: recommendations from team science. | PSNet

    psnet.ahrq.gov/issue/improving-care-teams-functioning-recommendations-team-science
    June 24, 2020 - June 20, 2018 Why the nation needs a policy push on patient-centered health care. … February 26, 2020 A systematic review of team training in health care: ten questions. … July 1, 2006 View More See More About The Topic Ambulatory Care Health
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