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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43030/psn-pdf
    March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43861/psn-pdf
    July 01, 2016 - Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. July 1, 2016 Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.1542/peds.2014-2171. https://psnet.ahr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43129/psn-pdf
    July 23, 2014 - Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. July 23, 2014 Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed- methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. https://psnet.ahrq.gov/issue/use-d…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60227/psn-pdf
    April 15, 2020 - The next step in learning from sentinel events in healthcare. April 15, 2020 Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. https://psnet.ahrq.gov/issue/next-step-learning-sentinel-events-health…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867049/psn-pdf
    October 30, 2024 - National Review of Maternity Services in England 2022 to 2024. October 30, 2024 National Review Of Maternity Services In England 2022 To 2024. Newcastle Upon Tyne, UK: Care Quality Commission; September 2024. https://psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024 Maternal safety is a gl…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34990/psn-pdf
    June 22, 2009 - Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. June 22, 2009 Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35182/psn-pdf
    April 11, 2011 - Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. April 11, 2011 Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41087/psn-pdf
    November 26, 2014 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. November 26, 2014 Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46931/psn-pdf
    January 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34644/psn-pdf
    December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9- year experience. December 23, 2008 Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45705/psn-pdf
    January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60034/psn-pdf
    March 11, 2020 - Responding to unprofessional behavior by trainees - a "just culture" framework. March 11, 2020 Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591. https://psnet.ahrq.gov/issue/resp…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851194/psn-pdf
    July 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44365/psn-pdf
    November 20, 2015 - A prospective study of suicide screening tools and their association with near-term adverse events in the ED. November 20, 2015 Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j.ajem.2015.08.013. https://psn…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41191/psn-pdf
    March 21, 2012 - Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. March 21, 2012 Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int J Med Inform. 2012;81(4):219-31. d…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41215/psn-pdf
    September 04, 2013 - Medical emergency team calls in the radiology department: patient characteristics and outcomes. September 4, 2013 Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. doi:10.1136/bmjqs-2011-000423. htt…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43307/psn-pdf
    September 26, 2016 - Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. September 26, 2016 Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification and administration: interven…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48133/psn-pdf
    November 01, 2024 - The NHS Patient Safety Strategy. November 1, 2024 NHS England https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation. This strategy seeks to further implement approaches that explore and optimize the intersect…
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