-
psnet.ahrq.gov/node/42363/psn-pdf
September 19, 2013 - e-Prescribing: characterisation of patient safety hazards
in community pharmacies using a sociotechnical systems
approach.
September 19, 2013
Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies
using a sociotechnical systems approach. BMJ Qual Saf. 2013;22(10):816…
-
psnet.ahrq.gov/node/46915/psn-pdf
April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT.
April 16, 2018
Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-
711. doi:10.1016/j.amjsurg.2018.02.001.
https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
Use of mnemonics to rec…
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psnet.ahrq.gov/node/60878/psn-pdf
January 01, 2021 - Intervention study for the reduction of medication errors
in elderly trauma patients.
September 2, 2020
Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of
medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
-
psnet.ahrq.gov/node/50557/psn-pdf
October 16, 2019 - Effect of an Electronic Medication Reconciliation
Intervention on Adverse Drug Events: A Cluster
Randomized Trial
October 16, 2019
Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation
Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…
-
psnet.ahrq.gov/node/41509/psn-pdf
January 03, 2017 - The Henry Ford Health System No Harm Campaign: a
comprehensive model to reduce harm and save lives.
January 3, 2017
Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The
Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.
in…
-
psnet.ahrq.gov/node/45232/psn-pdf
August 10, 2016 - Promoting patient safety with perioperative hand-off
communication.
August 10, 2016
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs.
2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
-
psnet.ahrq.gov/node/45275/psn-pdf
November 01, 2017 - Electronic tools to support medication reconciliation—a
systematic review.
November 1, 2017
Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J
Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068.
https://psnet.ahrq.gov/issue/electronic-tools-s…
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psnet.ahrq.gov/node/44524/psn-pdf
March 16, 2016 - Application of a human factors classification framework
for patient safety to identify precursor and contributing
factors to adverse clinical incidents in hospital.
March 16, 2016
Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for patient
safety to identify precurs…
-
psnet.ahrq.gov/node/38376/psn-pdf
February 04, 2009 - Patient safety climate in 92 US hospitals: differences by
work area and discipline.
February 4, 2009
Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area
and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189d.
https://psnet.ahrq.gov/issue/p…
-
psnet.ahrq.gov/node/46025/psn-pdf
July 11, 2017 - Measuring to improve medication reconciliation in a large
subspecialty outpatient practice.
July 11, 2017
Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large
Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-223.
doi:10.1016/j.jcjq.2017.02.005…
-
psnet.ahrq.gov/node/45173/psn-pdf
November 18, 2016 - Impact of hospital-acquired conditions on financial
liabilities for Medicare patients.
November 18, 2016
Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare
patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/39639/psn-pdf
August 03, 2010 - Measuring hospital adverse events: assessing inter-rater
reliability and trigger performance of the Global Trigger
Tool.
August 3, 2010
Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater
reliability and trigger performance of the Global Trigger Tool. International …
-
psnet.ahrq.gov/node/60227/psn-pdf
April 15, 2020 - The next step in learning from sentinel events in
healthcare.
April 15, 2020
Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare.
BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739.
https://psnet.ahrq.gov/issue/next-step-learning-sentinel-events-health…
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psnet.ahrq.gov/node/42085/psn-pdf
March 13, 2013 - In-facility delirium programs as a patient safety strategy:
a systematic review.
March 13, 2013
Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158-5-201303051-00003.
https://psnet.ah…
-
psnet.ahrq.gov/node/43686/psn-pdf
November 26, 2014 - Tools for primary care patient safety: a narrative review.
November 26, 2014
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract.
2014;15:166. doi:10.1186/1471-2296-15-166.
https://psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
Proven methods to …
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psnet.ahrq.gov/node/73407/psn-pdf
June 16, 2021 - Common Formats for Patient Safety Data Collection:
Diagnostic Safety 0.1.
June 16, 2021
The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264.
https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
Measurement of diagnostic errors is an imp…
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psnet.ahrq.gov/node/43997/psn-pdf
August 02, 2015 - Sentinel events, serious reportable events, and root
cause analysis.
August 2, 2015
Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis.
JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672.
https://psnet.ahrq.gov/issue/sentinel-events-serious-re…
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psnet.ahrq.gov/node/46641/psn-pdf
December 20, 2017 - A review of best practices for intravenous push
medication administration.
December 20, 2017
Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication
Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247.
https://psnet.ahrq.gov/issue/review-best-…
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psnet.ahrq.gov/node/34797/psn-pdf
October 06, 2015 - Adapting to new technologies in the operating room.
October 6, 2015
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-
613. doi:10.1518/001872096778827224.
https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
New technology continues to offer great ad…
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psnet.ahrq.gov/node/73365/psn-pdf
June 09, 2021 - Enhancing psychological safety in mental health services.
June 9, 2021
Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment
Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1.
https://psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-servi…