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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44207/psn-pdfAugust 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned. August 21, 2018 Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf. 2018;14(3):164-173. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45774/psn-pdfOctober 11, 2017 - Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? October 11, 2017 Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866107/psn-pdfJune 12, 2024 - Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. June 12, 2024 Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.1097/pts.0000000000001223. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854251/psn-pdfOctober 04, 2023 - A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. October 4, 2023 Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.2023.9.8.2.18. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61067/psn-pdfJanuary 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74008/psn-pdfOctober 27, 2021 - Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72473/psn-pdfJanuary 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851925/psn-pdfAugust 02, 2023 - Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865930/psn-pdfMay 22, 2024 - Operational failures in general practice: a consensus- building study on the priorities for improvement. May 22, 2024 Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2024;74(742):e339-e346. doi:10.3399… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40355/psn-pdfJuly 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37468/psn-pdfApril 11, 2011 - Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. April 11, 2011 Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the fir… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838188/psn-pdfSeptember 28, 2022 - Changes in unprofessional behaviour, teamwork, and co- operation among hospital staff during the COVID-19 pandemic. September 28, 2022 Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co? operation among hospital staff during the COVID?19 pandemic. Intern Med J. 2022;52(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73062/psn-pdfJanuary 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72823/psn-pdfMarch 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021 Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860722/psn-pdfJanuary 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46566/psn-pdfJune 25, 2018 - A systematic review of interventions to follow-up test results pending at discharge. June 25, 2018 Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45836/psn-pdfJuly 02, 2017 - Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. July 2, 2017 Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73588/psn-pdfAugust 11, 2021 - Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. August 11, 2021 Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. JAMA Intern Med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60873/psn-pdfSeptember 02, 2020 - What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74202/psn-pdfDecember 22, 2021 - Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. December 22, 2021 Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021;21(1):648. doi:10.1186/s12877-…
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