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Medication errors' causes analysis in home care setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review

August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

Using potentially preventable severe maternal morbidity to monitor hospital performance. | PSNet

psnet.ahrq.gov/issue/using-potentially-preventable-severe-maternal-morbidity-monitor-hospital-performance

February 02, 2022 - Study Using potentially preventable severe maternal morbidity to monitor hospital performance. Citation Text: Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. do…

Tying up loose ends: discharging patients with unresolved medical issues. | PSNet

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February 24, 2011 - Study Tying up loose ends: discharging patients with unresolved medical issues. Citation Text: Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. Copy Citation Format: Google Scholar …

Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. | PSNet

psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american

February 03, 2011 - Organizational Policy/Guidelines Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. Citation Text: Michaels AD, Spinler SA, Leeper B, et al. Medication Errors in Acute Cardiovascular and Stroke Patients. Circulatio…

A systematic review of the psychological literature on interruption and its patient safety implications. | PSNet

psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications

September 24, 2016 - Review Classic A systematic review of the psychological literature on interruption and its patient safety implications. Citation Text: Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet

psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive

July 14, 2010 - Study Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Citation Text: Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…

The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department

July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

To expand the evidence base about harms from tests and treatments. | PSNet

psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments

May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet

psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses

March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health

September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

Complexity and challenges of the clinical diagnosis and management of Long COVID. | PSNet

psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid

January 12, 2022 - Study Complexity and challenges of the clinical diagnosis and management of Long COVID. Citation Text: O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen…

Errors in adult trauma resuscitation: a systematic review. | PSNet

psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review

December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet

psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases

November 30, 2022 - Study Examining medication ordering errors using AHRQ Network of Patient Safety Databases. Citation Text: Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…

Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission

April 25, 2018 - Review Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. Citation Text: Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …

The PROMISES Project. | PSNet

psnet.ahrq.gov/issue/promises-project

January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…

The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality

April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. | PSNet

psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality

March 10, 2019 - Study Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Citation Text: Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …

Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care

February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. | PSNet

psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic

August 04, 2021 - Study Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. Citation Text: Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…

Parents' understanding of medication at discharge and potential harm in children with medical complexity. | PSNet

psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity

April 22, 2020 - Study Parents' understanding of medication at discharge and potential harm in children with medical complexity. Citation Text: Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…

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