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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37706/psn-pdfDecember 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866159/psn-pdfJune 19, 2024 - Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study. June 19, 2024 Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and inaccurate … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848360/psn-pdfMay 03, 2023 - Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity. May 3, 2023 Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37207/psn-pdfSeptember 09, 2008 - Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. September 9, 2008 Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73289/psn-pdfMay 19, 2021 - Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. May 19, 2021 Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVI… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38581/psn-pdfAugust 27, 2013 - HealthGrades Sixth Annual Patient Safety in American Hospitals Study. August 27, 2013 Golden, CO: HealthGrades, Inc.; April 2009. https://psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study This analysis of patient safety in Medicare patients from 2005–2007 concludes that while … -
psnet.ahrq.gov/issue/gooddxorgAugust 07, 2019 - Multi-use Website GoodDx.org Citation Text: GoodDx.org GoodDx. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 26, 2023 GoodDx. Effective …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862994/psn-pdfFebruary 21, 2024 - Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. February 21, 2024 Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. Nurs Manage. 2024;55(1):32-42. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866564/psn-pdfAugust 21, 2024 - Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. August 21, 2024 Wang X, Rihari?Thomas J, Bail K, et al. Care quality and safety in long?term aged care settings: a systematic review and narrative analysis of missed care measurements. J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47040/psn-pdfOctober 18, 2018 - Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. October 18, 2018 Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. BMJ Qual Saf. 2018;27(11):915-9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37241/psn-pdfDecember 16, 2011 - The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. December 16, 2011 Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Med Care. 2007;45(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34818/psn-pdfApril 22, 2011 - The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. April 22, 2011 Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678-86. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40859/psn-pdfOctober 19, 2011 - Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. October 19, 2011 Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic health records do not provide th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39297/psn-pdfJanuary 22, 2017 - A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. January 22, 2017 Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. https://psnet.ahrq.gov/issue/checklist-identify-inpati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74035/psn-pdfJanuary 01, 2022 - Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021 O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Fam Pract. 2022;39(4):57… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36902/psn-pdfJune 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847050/psn-pdfApril 05, 2023 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023 McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. Jt Comm J Qual Patient Saf. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845637/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48181/psn-pdfAugust 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. July 30, 2019;(61):1-5. https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral anticoagulants (DOACs) require less… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36486/psn-pdfJune 13, 2011 - Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. June 13, 2011 Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated Services to Support Inte…
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