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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60726/psn-pdf
     January 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual …

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35749/psn-pdf
     May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36895/psn-pdf
     March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. March 10, 2011 Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse …

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44082/psn-pdf
     April 22, 2015 - Impact of including readmissions for qualifying events in the Patient Safety Indicators. April 22, 2015 Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/1062860613518341. https://psnet.ahrq.g…

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45986/psn-pdf
     March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45547/psn-pdf
     October 05, 2016 - Sick children face potentially deadly danger: medication errors. October 5, 2016 Furfaro H. Wall Street Journal. September 25, 2016. https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors Medication errors in pediatric care are common in the hospital and at home. This newspaper…

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865344/psn-pdf
     March 27, 2024 - Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. March 27, 2024 Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision support to prevent dose errors in pedia…

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43047/psn-pdf
     August 02, 2015 - Hospital readmission after noncardiac surgery: the role of major complications. August 2, 2015 Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. https://psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-…

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34786/psn-pdf
     March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845637/psn-pdf
     March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023 Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration p…

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50736/psn-pdf
     December 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. December 11, 2019 Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neon…

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842421/psn-pdf
     January 11, 2023 - Weight and size descriptors for drug dosing: too many options and too many errors. January 11, 2023 Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283. https://psnet.ahrq.gov/issue/…

213. Transitions of Care (TOC) Portal. | PSNet
     psnet.ahrq.gov/issue/transitions-care-toc-portal
     March 07, 2018 - Multi-use Website Transitions of Care (TOC) Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 27, 2013 This Web site provides resources for clinicians and patien…

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43645/psn-pdf
     November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43001/psn-pdf
     March 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33804/psn-pdf
     March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

217. ASHRM Patient Safety Portal. | PSNet
     psnet.ahrq.gov/issue/ashrm-patient-safety-portal
     September 27, 2016 - Multi-use Website ASHRM Patient Safety Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 21, 2012 This Web site provides access to educational resources for risk ma…

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50890/psn-pdf
     February 12, 2020 - Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. February 12, 2020 Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication review on the safety and med…

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34993/psn-pdf
     June 22, 2009 - Five system barriers to achieving ultrasafe health care. June 22, 2009 Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care This commentary builds on the…

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35577/psn-pdf
     April 06, 2011 - Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. April 6, 2011 Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester…