-
psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Are We Safer Today?
February 26, 2025
Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/are-we-safer-today
In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the
National Academy of Medicine) drew on two lar…
-
psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
February 02, 2022 - high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based … practice.
-
psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
October 13, 2018 - Study
Delayed medical emergency team calls and associated outcomes.
Citation Text:
Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate
August 16, 2023 - Organizational Policy/Guidelines
Classic
American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…
-
psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use
March 20, 2024 - Review
Systematic review of clinical debriefing tools: attributes and evidence for use.
Citation Text:
Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-01…
-
psnet.ahrq.gov/node/42064/psn-pdf
March 16, 2013 - Making Health Care Safer: A Critical Review of Modern
Evidence Supporting Strategies to Improve Patient Safety.
March 16, 2013
Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365-
440.
https://psnet.ahrq.gov/issue/making-health-care-safer-critical-review-moder…
-
psnet.ahrq.gov/issue/does-app-day-keep-doctor-away-ai-symptom-checker-applications-entrenched-bias-and
March 14, 2018 - Commentary
Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility.
Citation Text:
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibi…
-
psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - Study
The impact of computerized provider order entry on medication errors in a multispecialty group practice.
Citation Text:
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
-
psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - The Literature on Health Care Simulation Education: What
Does It Show?
March 1, 2013
Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet].
2013.
https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
Perspective
The education o…
-
psnet.ahrq.gov/node/34103/psn-pdf
February 24, 2011 - Measuring errors and adverse events in health care.
February 24, 2011
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med.
2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
This article discusses t…
-
psnet.ahrq.gov/node/840139/psn-pdf
November 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids
for Pain - United States, 2022.
November 16, 2022
Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain —
United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/42072/psn-pdf
August 03, 2016 - Innovation in Perioperative Patient Safety.
August 3, 2016
Miller DR, Merry AF, eds. Can J Anesth. 2013;60(2):7-220.
https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
Articles in this special issue discuss strategies to improve safety in anesthesia, including simulation
training, perioperative c…
-
psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Double checking the administration of medicines: what is
the evidence? A systematic review.
October 3, 2012
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence?
A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
https://p…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
November 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfusion Overload
1
2
Source and Credits
This presentation is based on the November 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …
-
psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - The right stuff: getting the right data at the right time and using that data to drive evidence-based … practice and policy.
-
psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - The right stuff: getting the right data at the right time and using that data to drive evidence-based … practice and policy.
-
psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
March 29, 2007 - Commentary
Reducing medical error in the Military Health System: how can team training help?
Citation Text:
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…
-
psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
February 17, 2011 - Commentary
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Citation Text:
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…
-
psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
March 21, 2012 - Organizational Policy/Guidelines
ISMP Targeted Medication Safety Best Practices for Community Pharmacy.
Citation Text:
ISMP Targeted Medication Safety Best Practices for Community Pharmacy. Institute for Safe Medication Practices: March 2025.
Copy Citation
Save
Sa…
-
psnet.ahrq.gov/node/35300/psn-pdf
March 04, 2011 - How strong is the evidence for the use of perioperative
beta blockers in non-cardiac surgery? Systematic review
and meta-analysis of randomised controlled trials.
March 4, 2011
Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ?
blockers in non-cardiac surgery? Sys…