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psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverseAugust 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…
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psnet.ahrq.gov/issue/missed-nursing-care-concept-analysisJanuary 19, 2022 - Commentary Missed nursing care: a concept analysis. Citation Text: Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009;65(7):1509-17. doi:10.1111/j.1365-2648.2009.05027.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transformingOctober 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42091/psn-pdfDecember 31, 2014 - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. December 31, 2014 Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Info Asso. 2013;20(3):470-476. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41446/psn-pdfJune 13, 2012 - Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. June 13, 2012 Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge alert filter for abnormal laborator… -
psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safetyMarch 29, 2023 - Newspaper/Magazine Article Pharmacists play key role in patient safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2005 Description of a successful model from Duke…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41257/psn-pdfApril 22, 2012 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. April 22, 2012 Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a sy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47634/psn-pdfJanuary 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2018. R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41526/psn-pdfApril 05, 2013 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. April 5, 2013 Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46507/psn-pdfOctober 11, 2017 - Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. October 11, 2017 Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs. Health Aff (Millwood). 201… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.pptDecember 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case December 2007 Elopement Source and Credits This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Debra Gerardi, RN, MPH, JD Creighton University School of Law Ed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49563/psn-pdfMay 01, 2008 - Is It Safe to Be Direct? May 1, 2008 Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/it-safe-be-direct The Case A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician (PCP) for progressive shortness of breat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60064/psn-pdfMarch 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. March 18, 2020 Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation- report Maternal care saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73988/psn-pdfOctober 20, 2021 - The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative. October 20, 2021 Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41456/psn-pdfSeptember 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. September 26, 2016 Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73089/psn-pdfMarch 31, 2021 - Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. March 31, 2021 Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Serv Res. 2021;21(1):31. doi:10.1186… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46721/psn-pdfApril 16, 2018 - Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. April 16, 2018 Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018;153(2):e174859. doi:10.1001/jama… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47683/psn-pdfApril 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems. April 10, 2019 Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46050/psn-pdfAugust 03, 2017 - Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. August 3, 2017 Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. JAMA Pediatr. 2017;171(6):524-531. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44647/psn-pdfNovember 18, 2015 - An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. November 18, 2015 Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety…
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