-
psnet.ahrq.gov/node/46451/psn-pdf
September 27, 2017 - Health Care Facility Design Safety Risk Assessment
Toolkit.
September 27, 2017
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
https://psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit
Both organizational culture and the physical environment affect the safety of care …
-
psnet.ahrq.gov/node/45406/psn-pdf
November 01, 2016 - Errors and nonadherence in pediatric oral chemotherapy
use.
November 1, 2016
Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use.
Oncology. 2016;91(4):231-236.
https://psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
Medication errors and non…
-
psnet.ahrq.gov/node/46468/psn-pdf
December 13, 2017 - The effect of opioid prescribing guidelines on
prescriptions by emergency physicians in Ohio.
December 13, 2017
Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by
Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1.
doi:10.1016/j.annemergmed.2017.03.0…
-
psnet.ahrq.gov/node/41721/psn-pdf
October 03, 2012 - Rural inpatient telepharmacy consultation demonstration
for after-hours medication review.
October 3, 2012
Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours
medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Beyond medication reconciliation: the correct medication
list.
July 11, 2017
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List.
JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…
-
psnet.ahrq.gov/node/44731/psn-pdf
December 02, 2015 - How to maximize patient safety when prescribing opioids.
December 2, 2015
Kirpalani D. How to Maximize Patient Safety When Prescribing Opioids. PM R. 2015;7(11 Suppl):S225-
S235. doi:10.1016/j.pmrj.2015.08.016.
https://psnet.ahrq.gov/issue/how-maximize-patient-safety-when-prescribing-opioids
Inappropriate opioid u…
-
psnet.ahrq.gov/node/46143/psn-pdf
June 14, 2017 - Report of the Announced Inspection of Medication Safety
at the Midland Regional Hospital Tullamore, County
Offaly.
June 14, 2017
Dublin, Ireland: Health Information and Quality Authority; May 2017.
https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-
tullamore-coun…
-
psnet.ahrq.gov/node/47585/psn-pdf
December 05, 2018 - Insulin pumps have most reported problems in FDA
database.
December 5, 2018
Mohr H, Weiss M. Associated Press. November 27, 2018.
https://psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
Usability issues, poor design, and lack of effective instruction hinder safe use of medical equipment…
-
psnet.ahrq.gov/node/43370/psn-pdf
July 30, 2014 - The legibility of prescription medication labelling in
Canada: moving from pharmacy-centred to patient-
centred labels.
July 30, 2014
Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada:
Moving from pharmacy-centred to patient-centred labels. Can Pharm J (Ott).…
-
psnet.ahrq.gov/node/43831/psn-pdf
January 21, 2015 - Implementation of standardized dosing units for I.V.
medications.
January 21, 2015
Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am
J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046.
https://psnet.ahrq.gov/issue/implementation-standardized-do…
-
psnet.ahrq.gov/node/43347/psn-pdf
September 03, 2014 - POPI (Pediatrics: Omission of Prescriptions and
Inappropriate prescriptions): development of a tool to
identify inappropriate prescribing.
September 3, 2014
Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate
prescriptions): development of a tool to identify …
-
psnet.ahrq.gov/node/37671/psn-pdf
July 25, 2008 - Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking
system for detecting and preventing errors.
July 25, 2008
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking system for de…
-
psnet.ahrq.gov/node/42776/psn-pdf
May 29, 2014 - Nursing perception of the impact of automated
dispensing cabinets on patient safety and ergonomics in
a teaching health care center.
May 29, 2014
Rochais E, Atkinson S, Guilbeault M, et al. Nursing perception of the impact of automated dispensing
cabinets on patient safety and ergonomics in a teaching health care …
-
psnet.ahrq.gov/node/72733/psn-pdf
February 10, 2021 - Start the year off right by preventing these top 10
medication errors and hazards from 2020.
February 10, 2021
ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2).
https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
Medication safety is chal…
-
psnet.ahrq.gov/node/45711/psn-pdf
March 27, 2017 - Management of a patient with a latex allergy.
March 27, 2017
Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA.
2017;317(3):309-310. doi:10.1001/jama.2016.20034.
https://psnet.ahrq.gov/issue/management-patient-latex-allergy
This case analysis discusses the use of a latex cathet…
-
psnet.ahrq.gov/node/37210/psn-pdf
December 19, 2011 - Effects of an integrated clinical information system on
medication safety in a multi-hospital setting.
December 19, 2011
Mahoney CD, Berard-Collins CM, Coleman R, et al. Effects of an integrated clinical information system on
medication safety in a multi-hospital setting. Am J Health Syst Pharm. 2007;64(18):1969-77…
-
psnet.ahrq.gov/node/35672/psn-pdf
June 28, 2010 - How many hospital pharmacy medication dispensing
errors go undetected?
June 28, 2010
Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go
undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.
https://psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispen…
-
psnet.ahrq.gov/node/45059/psn-pdf
July 01, 2016 - An observational study of direct oral anticoagulant
awareness indicating inadequate recognition with
potential for patient harm.
July 1, 2016
Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating
inadequate recognition with potential for patient harm. J Thromb H…
-
psnet.ahrq.gov/node/844552/psn-pdf
February 15, 2023 - Home medical device safety tops ECRI'S list of healthcare
technology.
February 15, 2023
Wicklund E. HealthLeaders. January 19, 2023.
https://psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
Technologies both advance and challenge care safety. This article summarizes an annual a…
-
psnet.ahrq.gov/node/40029/psn-pdf
November 24, 2010 - Formal medicine reconciliation within the emergency
department reduces the medication error rates for
emergency admissions.
November 24, 2010
Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the
medication error rates for emergency admissions. Emerg Med J. 2010;27(12):9…