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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47840/psn-pdfJuly 31, 2019 - Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems. July 31, 2019 Geeson C, Wei L, Franklin BD. Development and performance evaluation of the Medicines Optimisation Assessment … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47400/psn-pdfNovember 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. November 28, 2018 Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46658/psn-pdfApril 18, 2018 - Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. April 18, 2018 Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:10.1016/j.apergo.2017.09.010. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46511/psn-pdfDecember 19, 2017 - Professional, structural and organisational interventions in primary care for reducing medication errors. December 19, 2017 Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43210/psn-pdfMay 28, 2014 - Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. May 28, 2014 Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy (Los Angel). 2014;59(5). doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837895/psn-pdfAugust 24, 2022 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. August 24, 2022 Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):1144-1150. doi:10.1111/pan.14535.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836776/psn-pdfMarch 23, 2022 - Potentially inappropriate medications and their effect on falls during hospital admission. March 23, 2022 Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.1093/ageing/afab205. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839315/psn-pdfJanuary 01, 2024 - Six major steps to make investigations of suicide valuable for learning and prevention. November 2, 2022 Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1080/13811118.2022.2133652. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42972/psn-pdfFebruary 26, 2014 - Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? February 26, 2014 Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? Arch Dis Child. 2014;99(1):26… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60918/psn-pdfSeptember 16, 2020 - Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. September 16, 2020 Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38189/psn-pdfNovember 14, 2011 - Errors, near misses and adverse events in the emergency department: what can patients tell us? November 14, 2011 Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427. https://psnet.ahrq.gov/issue/errors-near-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837149/psn-pdfMay 18, 2022 - Human factors analysis of latent safety threats in a pediatric critical care unit. May 18, 2022 Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc.0000000000002832. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43731/psn-pdfDecember 03, 2014 - Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. December 3, 2014 Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. J Trauma Nurs. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843321/psn-pdfFebruary 01, 2023 - Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. February 1, 2023 ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4. https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event- reach-patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42885/psn-pdfJanuary 22, 2014 - Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. January 22, 2014 Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst Pharm. 2014;71(1):58-67. doi:10.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34670/psn-pdfJanuary 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge on judgment under uncertainty. March 7, 2005 Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3). doi:10.1037/0096-1523… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844780/psn-pdfSeptember 11, 2019 - Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. September 11, 2019 Kaba A, Barnes S. Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. Adv Simul (Lond). 2019;4:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837070/psn-pdfMay 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503. https://psnet.ahrq.gov/issue/pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854826/psn-pdfOctober 25, 2023 - Observing sources of system resilience using in situ alarm simulations. October 25, 2023 McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. https://psnet.ahrq.gov/issue/observing-sources-system-r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47106/psn-pdfAugust 15, 2018 - Imitating incidents: how simulation can improve safety investigation and learning from adverse events. August 15, 2018 Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315. https://psnet.…
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