-
psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
December 21, 2022 - Study
The contribution of staffing to medication administration errors: a text mining analysis of incident report data.
Citation Text:
Härkänen M, Vehviläinen‐Julkunen K, Murrells T, et al. The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incide…
-
psnet.ahrq.gov/issue/acgme-2011-duty-hours-restrictions-and-their-effects-surgical-residency-training-and-patients
August 26, 2020 - Review
ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.
Citation Text:
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients out…
-
psnet.ahrq.gov/issue/complications-daytime-elective-laparoscopic-cholecystectomies-performed-surgeons-who-operated
April 12, 2019 - Study
Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before.
Citation Text:
Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…
-
psnet.ahrq.gov/issue/impact-covid-19-inpatient-clinical-emergencies-single-center-experience
February 17, 2021 - Study
Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.
Citation Text:
Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135…
-
psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Commentary
Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.
Citation Text:
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
-
psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
December 22, 2018 - Study
Parent perceptions of children's hospital safety climate.
Citation Text:
Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727.
Copy Citation
Format:
DOI Google Sc…
-
psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
February 15, 2011 - Study
Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.
Citation Text:
Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…
-
psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Perhaps the most important consideration has to do with the ability of the patient to cooperate.
-
psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Consideration of adrenal insufficiency should have prompted the administration of intravenous hydrocortisone
-
psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Medication/Drug Errors
Curated Library
Primers
Medication Administration Errors
Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March,
12 2021
Medication administration errors are a persistent patient saf…
-
psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - Adverse Drug Event (ADE) Surveillance and Pharmacist
Counseling
January 31, 2024
https://psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
Summary
Adverse events resulting from medications are a common occurrence that often go undetected, unreported,
and unaddressed.1 The imp…
-
psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
October 05, 2011 - Study
Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.
Citation Text:
Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:1…
-
psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
January 13, 2010 - Commentary
Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators.
Citation Text:
Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…
-
psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
December 01, 2010 - Study
Self-reported violations during medication administration in two paediatric hospitals.
Citation Text:
Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-…
-
psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
April 19, 2013 - Commentary
Using HFMEA to assess potential for patient harm from tubing misconnections.
Citation Text:
Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/team-training-safer-birth
July 16, 2013 - Review
Team training for safer birth.
Citation Text:
Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol. 2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX En…
-
psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Book/Report
Building a Better Delivery System: A New Engineering/Health Care Partnership.
Citation Text:
Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…
-
psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
September 29, 2017 - Study
Implementing standardized reporting and safety checklists.
Citation Text:
Stevens JD, Bader MK, Luna MA, et al. Cultivating quality: implementing standardized reporting and safety checklists. Am J Nurs. 2011;111(5):48-53. doi:10.1097/01.naj.0000398051.07923.69.
Copy Citation
…
-
psnet.ahrq.gov/issue/culture-language-and-patient-safety-making-link
June 22, 2009 - Commentary
Culture, language, and patient safety: making the link.
Citation Text:
Johnstone M-J, Kanitsaki O. Culture, language, and patient safety: Making the link. Int J Qual Health Care. 2006;18(5):383-8.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XM…
-
psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
February 17, 2011 - Meeting/Conference Proceedings
Use of electronic health records in US hospitals.
Citation Text:
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX …