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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43285/psn-pdfJuly 16, 2014 - Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. July 16, 2014 Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47653/psn-pdfJanuary 16, 2019 - Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. January 16, 2019 Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Res Social Adm Pharm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47101/psn-pdfDecember 21, 2018 - Education and reporting of diagnostic errors among physicians in internal medicine training programs. December 21, 2018 Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178(11):1548-1549. doi:10.1001/ja… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45297/psn-pdfJuly 13, 2016 - Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. July 13, 2016 Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. BMJ. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45673/psn-pdfDecember 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care Settings. December 7, 2016 Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings Standard term selection tools—like pick lists or drop-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41917/psn-pdfMay 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44988/psn-pdfSeptember 20, 2016 - The promise of big data: improving patient safety and nursing practice. September 20, 2016 Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. https://psnet.ahrq.gov/issue/promise-big-data-improving… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36511/psn-pdfJanuary 07, 2011 - Facing ambiguous threats. January 7, 2011 Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond to signs that may or may not portend future catastrophes. The authors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44654/psn-pdfNovember 11, 2015 - Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. November 11, 2015 Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. https://psnet.ahrq.gov/issue/reduction-chemo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864866/psn-pdfMarch 20, 2024 - 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. March 20, 2024 Baltimore, MD: US Department of Health and Human Services; 2024. https://psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms- quality-measures Data… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73298/psn-pdfMay 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC: National Academies Press; 2021. ISBN: 9780309685061. https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45896/psn-pdfMarch 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44918/psn-pdfApril 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44088/psn-pdfMay 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866112/psn-pdfJune 12, 2024 - Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. June 12, 2024 Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res Clin Soc Pharm. 2024;14:100451. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45015/psn-pdfJuly 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45263/psn-pdfSeptember 04, 2016 - PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. September 4, 2016 Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316-320. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46259/psn-pdfSeptember 24, 2017 - A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. September 24, 2017 Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital v… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44417/psn-pdfJanuary 25, 2016 - Health information exchange in emergency medicine. January 25, 2016 Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018. https://psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine Insuffi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44449/psn-pdfJanuary 22, 2016 - Do patient safety indicators explain increased weekend mortality? January 22, 2016 Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. https://psnet.ahrq.gov/issue/do-patient-safety-indicators-ex…
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