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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44924/psn-pdfApril 15, 2016 - Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. April 15, 2016 Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44235/psn-pdfJanuary 22, 2016 - Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta- analysis. January 22, 2016 Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. Int J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60828/psn-pdfAugust 19, 2020 - When COVID-19 hit, many elderly were left to die. August 19, 2020 Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die Residential care facilities have been challenged by C… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50417/psn-pdfSeptember 04, 2019 - Communicating uncertainty: a narrative review and framework for future research. September 4, 2019 Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. https://psnet.ahrq.gov/issue/communi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866073/psn-pdfJune 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38070/psn-pdfMarch 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44252/psn-pdfJanuary 01, 2016 - Associations between safety culture and employee engagement over time: a retrospective analysis. December 16, 2015 Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7. doi:10.1136/bmjqs-2014- 00391… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839324/psn-pdfNovember 02, 2022 - The impact of COVID-19 workflow changes on radiation oncology incident reporting. November 2, 2022 Volpini ME, Lekx?Toniolo K, Mahon R, et al. The impact of COVID?19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.13742. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44772/psn-pdfJanuary 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. January 13, 2016 Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. https://psnet.ahrq.gov/issue/post-eve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39261/psn-pdfFebruary 03, 2010 - Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? February 3, 2010 Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Burn Care Res. 2010;31(1):125-9. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47424/psn-pdfNovember 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38727/psn-pdfNovember 25, 2009 - FMEA team performance in health care: a qualitative analysis of team member perceptions. November 25, 2009 Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42784/psn-pdfJanuary 15, 2014 - A multi-disciplinary approach to medication safety and the implication for nursing education and practice. January 15, 2014 Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ Today. 2014;34(2):185-90. doi:10.101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35038/psn-pdfJanuary 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865681/psn-pdfApril 24, 2024 - DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024 Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24- 106107. https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers Health care o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43937/psn-pdfMay 05, 2018 - Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5. https://psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices Benchmarks tracking a wide spectru… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37699/psn-pdfFebruary 22, 2011 - The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review. February 22, 2011 Wolfstadt JI, Gurwitz JH, Field T, et al. The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855438/psn-pdfNovember 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41635/psn-pdfJanuary 18, 2013 - Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. January 18, 2013 Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electronic health and prescription reco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45465/psn-pdfSeptember 07, 2016 - Improving patient safety culture in primary care: a systematic review. September 7, 2016 Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075. https://psnet.ahrq.gov/issue/improving-pat…
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