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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840142/psn-pdfNovember 16, 2022 - The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. November 16, 2022 Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Age Ageing. 2022… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46042/psn-pdfJuly 12, 2017 - Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. July 12, 2017 McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to develop context-sensitive inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837966/psn-pdfSeptember 01, 2022 - Barcode medication administration software technology use in the emergency department and medication error rates. September 1, 2022 Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46623/psn-pdfJuly 02, 2019 - Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. July 2, 2019 Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. J Am Med Info Assoc. 2017… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854829/psn-pdfJanuary 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. October 25, 2023 Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering incident reporters' perspectives. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851350/psn-pdfJuly 12, 2023 - A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. July 12, 2023 Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug- orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621. doi:10.108… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43154/psn-pdfAugust 22, 2016 - Root cause analysis of ambulatory adverse drug events that present to the emergency department. August 22, 2016 Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.1097/pts.0000000000000072. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74751/psn-pdfFebruary 09, 2022 - A quality improvement initiative to improve patient safety event reporting by residents. February 9, 2022 Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72727/psn-pdfFebruary 10, 2021 - System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. February 10, 2021 Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraoperative Risk and Resilience. Ann Surg. 2020;272(6):1164-1170. doi:10.1097/s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42287/psn-pdfNovember 26, 2014 - What do patients think about year-end resident continuity clinic handoffs?: a qualitative study. November 26, 2014 Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73697/psn-pdfSeptember 15, 2021 - Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. September 15, 2021 Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Am J Crit Care. 2021;30(5):375-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50913/psn-pdfFebruary 19, 2020 - "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. February 19, 2020 Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational study of triggers and effects of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46646/psn-pdfJanuary 01, 2021 - Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. December 20, 2017 Vacher A, El Mhamdi S, d?Hollander A, et al. Impact of an Original Methodological T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73163/psn-pdfApril 21, 2021 - Implicit bias in healthcare: clinical practice, research and decision making. April 21, 2021 Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. doi:10.7861/fhj.2020-0233. https://psnet.ahrq.gov/issue/implicit-bias… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837741/psn-pdfJuly 27, 2022 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. July 27, 2022 Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. J Patient Saf. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47479/psn-pdfDecember 12, 2018 - "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. December 12, 2018 Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnosis (Berl). 2018;5(4):235-242. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40145/psn-pdfNovember 14, 2011 - Postoperative sepsis in the United States. November 14, 2011 Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states The safety of patients undergoing surg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862131/psn-pdfFebruary 07, 2024 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. February 7, 2024 Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved ou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837642/psn-pdfJuly 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. July 6, 2022 Rockville, MD: Agency for Health Quality and Research; June 2022. https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants The potential for workplace violence degrades patient and staff safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838074/psn-pdfJanuary 01, 2023 - Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. September 14, 2022 Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Risk Anal. 2023;43(7):1463-1477.…
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