-
psnet.ahrq.gov/node/40052/psn-pdf
December 08, 2010 - Electronic health records and adverse drug events after
patient transfer.
December 8, 2010
Boockvar KS, Livote EE, Goldstein N, et al. Electronic health records and adverse drug events after patient
transfer. Qual Saf Health Care. 2010;19(5):e16. doi:10.1136/qshc.2009.033050.
https://psnet.ahrq.gov/issue/electroni…
-
psnet.ahrq.gov/node/45988/psn-pdf
April 24, 2018 - Translating concerns into action: a detailed qualitative
evaluation of an interdisciplinary intervention on medical
wards.
April 24, 2018
Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation
of an interdisciplinary intervention on medical wards. BMJ Open. 201…
-
psnet.ahrq.gov/node/36168/psn-pdf
August 31, 2011 - Computerized prescribing alerts and group academic
detailing to reduce the use of potentially inappropriate
medications in older people.
August 31, 2011
Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to
reduce the use of potentially inappropriate medications i…
-
psnet.ahrq.gov/node/45882/psn-pdf
June 28, 2017 - Early death after discharge from emergency departments:
analysis of national US insurance claims data.
June 28, 2017
Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis
of national US insurance claims data. BMJ. 2017;356:j239. doi:10.1136/bmj.j239.
https://psnet.a…
-
psnet.ahrq.gov/node/40189/psn-pdf
February 02, 2011 - Addition of electronic prescription transmission to
computerized prescriber order entry: effect on dispensing
errors in community pharmacies.
February 2, 2011
Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized
prescriber order entry: Effect on dispensing errors …
-
psnet.ahrq.gov/node/37363/psn-pdf
February 03, 2011 - Effect of a rapid response team on hospital-wide mortality
and code rates outside the ICU in a children’s hospital.
February 3, 2011
Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code
rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74.
h…
-
psnet.ahrq.gov/node/47102/psn-pdf
June 26, 2018 - Transition to a new electronic health record and pediatric
medication safety: lessons learned in pediatrics within a
large academic health system.
June 26, 2018
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication
safety: lessons learned in pediatrics within a l…
-
psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
-
psnet.ahrq.gov/node/37327/psn-pdf
March 03, 2011 - Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to
surgical patients.
March 3, 2011
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to surgical pati…
-
psnet.ahrq.gov/node/46110/psn-pdf
January 01, 2019 - Examination of the relationship between management and
clinician perception of patient safety climate and patient
satisfaction.
December 21, 2018
Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and
clinician perception of patient safety climate and patient satisfaction.…
-
psnet.ahrq.gov/node/46645/psn-pdf
January 23, 2019 - Emergency department contribution to the prescription
opioid epidemic.
January 23, 2019
Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid
Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.annemergmed.2017.12.007.
https://psnet.ahrq.gov/issue/emergency-departm…
-
psnet.ahrq.gov/node/47115/psn-pdf
August 15, 2018 - Adverse events in hospitalized pediatric patients.
August 15, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients.
Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
https://psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
This study u…
-
psnet.ahrq.gov/node/45177/psn-pdf
June 01, 2016 - Quantifying the burden of opioid medication errors in
adult oncology and palliative care settings: a systematic
review.
June 1, 2016
Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology
and palliative care settings: A systematic review. Palliat Med. 2016;30(6):520…
-
psnet.ahrq.gov/node/40562/psn-pdf
July 03, 2014 - Paid malpractice claims for adverse events in inpatient
and outpatient settings.
July 3, 2014
Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient
settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813.
https://psnet.ahrq.gov/issue/paid-malpractice-cla…
-
psnet.ahrq.gov/node/46454/psn-pdf
August 20, 2018 - First, Do No Harm: Marshaling Clinician Leadership to
Counter the Opioid Epidemic.
August 20, 2018
Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISBN
9781947103108.
https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
M…
-
psnet.ahrq.gov/node/43063/psn-pdf
May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many:
The Need to Improve Patient Safety.
May 1, 2015
Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014).
https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
A group of patient safety…
-
psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - Patient record review of the incidence, consequences,
and causes of diagnostic adverse events.
April 30, 2014
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes
of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21.
doi:10.1001/archinternmed.2010.…
-
psnet.ahrq.gov/node/40239/psn-pdf
February 23, 2011 - Randomized trial of a warfarin communication protocol
for nursing homes: an SBAR-based approach.
February 23, 2011
Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes:
an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:10.1016/j.amjmed.2010.09.017.
htt…
-
psnet.ahrq.gov/node/40393/psn-pdf
December 21, 2014 - Structured interdisciplinary rounds in a medical teaching
unit: improving patient safety.
December 21, 2014
O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit:
improving patient safety. Arch Intern Med. 2011;171(7):678-684. doi:10.1001/archinternmed.2011.128.
http…
-
psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous
entry': prospective survey of prescribers' explanations for
errors.
March 21, 2018
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry':
prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…