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3521. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention | PSNet
      psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
      May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention Citation Text: Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Cop…

3522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43513/psn-pdf
      September 10, 2014 - Preventing medical errors: how to proceed with caution. September 10, 2014 Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. https://psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution This article provides an overview of patient safety issues…

3523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38960/psn-pdf
      September 23, 2009 - Connected care: reducing errors through automated vital signs data upload. September 23, 2009 Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. https://psnet.ahrq.gov/issue/connect…

3524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35133/psn-pdf
      March 11, 2011 - Parents as partners in obtaining the medication history. March 11, 2011 Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305. https://psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history This study examined the utility o…

3525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35715/psn-pdf
      February 15, 2006 - Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. February 15, 2006 Wong DH; Gallegos Y; Weinger MB; Clack S; Slagle J; Anderson CT. https://psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-thir…

3526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42203/psn-pdf
      April 17, 2013 - What do hospital staff in the UK think are the causes of penicillin medication errors? April 17, 2013 Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9708-1. https://psnet.ahrq.gov/issu…

3527. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - A large body of research documents that handovers often lack important elements, and that poor quality … face-to-face communication often did not occur between the handover giver and receiver, and handover documents

3528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41094/psn-pdf
      January 25, 2012 - Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. January 25, 2012 Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool to standardize the reporting and track…

3529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49719/psn-pdf
      September 01, 2014 - No BP During NIBP September 1, 2014 Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/no-bp-during-nibp The Case An otherwise healthy 49-year-old man with atrial fibrillation was scheduled for ablation in the catheterization laboratory under general endotracheal anes…

3530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49740/psn-pdf
      August 21, 2015 - Baffled by Botulinum Toxin August 21, 2015 Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/baffled-botulinum-toxin The Case A 5-year-old boy with a history of transverse myelitis with resultant spasticity of both lower extremities, gait abnormalities, neurogeni…

3531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33723/psn-pdf
      December 01, 2011 - 18495686 https://psnet.ahrq.gov//#ref19back https://www.fda.gov/regulatory-information/search-fda-guidance-documents

3532. Code Status Confusion | PSNet
      psnet.ahrq.gov/web-mm/code-status-confusion
      September 01, 2006 - Even when completed, such documents are frequently unavailable to physicians in the hospital.

3533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45507/psn-pdf
      November 02, 2016 - Information handoff and outcomes of critically ill patients transferred between hospitals. November 2, 2016 Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.2016.08.006. https://psnet.ahrq.g…

3534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36684/psn-pdf
      June 13, 2011 - Implementation of an electronic system for medication reconciliation. June 13, 2011 Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. https://psnet.ahrq.gov/issue/implementation-elect…

3535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46977/psn-pdf
      April 04, 2018 - Latex: a lingering and lurking safety risk. April 4, 2018 Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15. https://psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk Latex products are widely available in hospitals and represent a persistent threat to patients with latex allergies. Drawing from 61…

3536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46936/psn-pdf
      April 11, 2018 - You've detailed your last wishes, but doctors may not see them. April 11, 2018 Lamas D. https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experienc…

3537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38797/psn-pdf
      July 22, 2009 - Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. July 22, 2009 Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Ann Intern Med.…

3538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46989/psn-pdf
      August 15, 2018 - Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. August 15, 2018 Hamiel U, Hecht I, Nemet A, et al. Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. Postgrad Med J. 2018;94(1111):254-258. doi:10.1136/postgradmedj- 201…

3539. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
      psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
      January 13, 2010 - SPOTLIGHT CASE A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis Citation Text: Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…

3540. Planning an MR suite: what can be done to enhance safety? | PSNet
      psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
      September 12, 2016 - Commentary Planning an MR suite: what can be done to enhance safety? Citation Text: Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794. Copy Citation Format: DOI Google Scholar PubMed B…