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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46143/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45749/psn-pdfJanuary 11, 2017 - Instrument count sheets and set reviews as patient safety tools. January 11, 2017 Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588- 592. doi:10.1016/j.aorn.2016.10.007. https://psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools Inaccu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45567/psn-pdfOctober 12, 2016 - Insulin Pens Devices. October 12, 2016 Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47. https://psnet.ahrq.gov/issue/insulin-pens-devices As a high-alert medication, insulin has the potential to result in serious patient harm if administered incorrectly. Articles in this special issue discuss recommendations de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46714/psn-pdfJanuary 10, 2018 - A system-based approach to managing patient safety in ambulatory care (and beyond). January 10, 2018 Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017. https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond Systems-based improvements are ke… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43406/psn-pdfAugust 06, 2014 - A comparison of the effects of different typographical methods on the recognizability of printed drug names. August 6, 2014 Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:10.1007/s40264-014-0156-9. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39903/psn-pdfJanuary 19, 2011 - Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. January 19, 2011 Baker DP, Amodeo AM, Krokos KJ, et al. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf Health Care. 2010;19(6):e49. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42911/psn-pdfFebruary 12, 2014 - Computerized physician order entry: promise, perils, and experience. February 12, 2014 Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40758/psn-pdfSeptember 07, 2011 - A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. September 7, 2011 Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Int Nurs Rev. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43321/psn-pdfAugust 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864864/psn-pdfMarch 20, 2024 - Systemic failures in health care oversight. March 20, 2024 Campbell JL. Ga L Rev. 2024;58(2):737-802. https://psnet.ahrq.gov/issue/systemic-failures-health-care-oversight Questions exist as to why practitioners with known performance issues continue to practice and affect patient safety. This article suggests a sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43789/psn-pdfAugust 05, 2015 - Do cell phones belong in the operating room? August 5, 2015 Luthra S. Kaiser Health News. July 14, 2015. https://psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room Distractions can lead to care and process omissions. Reporting on the prevalence of mobile technology in the operating room and how it can hinde… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37259/psn-pdfMarch 23, 2011 - Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. March 23, 2011 Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72535/psn-pdfDecember 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47645/psn-pdfApril 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46787/psn-pdfOctober 15, 2018 - Institute for Safe Medication Practices International Mentorship Program. October 15, 2018 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program Structured interaction with a wide variety of experts and environments enables medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43440/psn-pdfAugust 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42962/psn-pdfSeptember 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848827/psn-pdfMay 10, 2023 - TQIP Mortality Reporting System Case Reports. May 10, 2023 ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74848/psn-pdfFebruary 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46080/psn-pdfAugust 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…
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