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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35112/psn-pdfJune 22, 2009 - Medication safety in older adults: home-based practice patterns. June 22, 2009 Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns This s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866963/psn-pdfOctober 16, 2024 - FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. October 16, 2024 Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024; https://psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838016/psn-pdfJanuary 02, 2021 - Racism as a Root Cause approach: a new framework. January 2, 2021 Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework Structural racism, which manife… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38333/psn-pdfJanuary 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470. https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues The Tax Relief and Hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41724/psn-pdfJanuary 01, 2013 - Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. December 31, 2012 Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mode and Effect Analysis to reduc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44722/psn-pdfMarch 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45609/psn-pdfNovember 16, 2016 - A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. November 16, 2016 Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000000536. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50402/psn-pdfOctober 02, 2019 - Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness October 2, 2019 Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness. Mayo Clin Proc Innov Qual Out… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867391/psn-pdfDecember 18, 2024 - The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. December 18, 2024 Schmidt HG, Norman GR, Mamede S, et al. The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. J Eval Clin Pract. 2024;30(6):1091-1101. doi:10.1111/jep.14023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852448/psn-pdfJanuary 01, 2024 - A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. August 16, 2023 Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. J Interp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45912/psn-pdfMay 09, 2017 - Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. May 9, 2017 DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Pediatr Cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47072/psn-pdfOctober 18, 2018 - Hospital admissions associated with medication non- adherence: a systematic review of prospective observational studies. October 18, 2018 Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non- adherence: a systematic review of prospective observational studies. BMJ Qual S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43024/psn-pdfMarch 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73658/psn-pdfSeptember 01, 2021 - Predicting self-intercepted medication ordering errors using machine learning. September 1, 2021 King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358. https://psnet.ahrq.gov/issue/predicti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43918/psn-pdfSeptember 27, 2017 - Medication-administration errors in an urban mental health hospital: a direct observation study. September 27, 2017 Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111/inm.12096. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44424/psn-pdfAugust 19, 2015 - Taking patients' narratives about clinicians from anecdote to science. August 19, 2015 Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361. https://psnet.ahrq.gov/issue/taking-patients-narrati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43906/psn-pdfMay 13, 2015 - Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. May 13, 2015 Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43960/psn-pdfApril 01, 2015 - Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. April 1, 2015 Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. BMJ Open. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50659/psn-pdfNovember 13, 2019 - Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. November 13, 2019 Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. J Psychiatr Ment Health Nurs. 2019;27(3):211-223. doi:10.111… -
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…
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