-
psnet.ahrq.gov/node/73137/psn-pdf
April 14, 2021 - Adverse drug event-related admissions to a pediatric
emergency unit.
April 14, 2021
Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric
emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582.
https://psnet.ahrq.gov/issue/adverse-drug…
-
psnet.ahrq.gov/node/838246/psn-pdf
October 05, 2022 - The impact of electronic health record interoperability on
safety and quality of care in high-income countries:
systematic review.
October 5, 2022
Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and
quality of care in high-income countries: systematic review. J…
-
psnet.ahrq.gov/node/72497/psn-pdf
November 25, 2020 - A multisite study of interprofessional teamwork and
collaboration on general medical services.
November 25, 2020
O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and
collaboration on general medical services. Jt Comm J Qual Patient Saf. 2020;46(12):667-672.
doi:10.1016/…
-
psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
-
psnet.ahrq.gov/node/73340/psn-pdf
June 02, 2021 - Can patients contribute to enhancing the safety and
effectiveness of test-result follow-up? Qualitative
outcomes from a health consumer workshop.
June 2, 2021
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test?
result follow?up? Qualitative outcomes from a hea…
-
psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure
injuries and medication administration errors: an
integrative review.
June 9, 2021
Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure …
-
psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…
-
psnet.ahrq.gov/node/764404/psn-pdf
March 02, 2022 - Systemic safety inequities for people with learning
disabilities: a qualitative integrative analysis of the
experiences of English health and social care for people
with learning disabilities, their families and carers.
March 2, 2022
Ramsey L, Albutt AK, Perfetto K, et al. Systemic safety inequities for people wit…
-
psnet.ahrq.gov/node/73315/psn-pdf
May 26, 2021 - What contributes to diagnostic error or delay? A
qualitative exploration across diverse acute care settings
in the United States.
May 26, 2021
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration
across diverse acute care settings in the United States. J Pati…
-
psnet.ahrq.gov/node/866079/psn-pdf
June 05, 2024 - Evolution of intravenous medication errors and
preventive systemic defenses in hospital settings-a
narrative review of recent evidence.
June 5, 2024
Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive
systemic defenses in hospital settings-a narrative review of recent…
-
psnet.ahrq.gov/node/44857/psn-pdf
March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy
and Paste.
March 23, 2016
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
Electronic health records have potential to improve health …
-
psnet.ahrq.gov/node/42641/psn-pdf
January 07, 2015 - Classification of medication incidents associated with
information technology.
January 7, 2015
Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with
information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2013-001818.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/73425/psn-pdf
June 23, 2021 - A qualitative study of what care workers do to provide
patient safety at home through telecare.
June 23, 2021
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at
home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4.
htt…
-
psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
-
psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
-
psnet.ahrq.gov/node/837804/psn-pdf
August 10, 2022 - Nurses' harm prevention practices during admission of an
older person to the hospital: a multi-method qualitative
study.
August 10, 2022
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person
to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
-
psnet.ahrq.gov/node/72592/psn-pdf
December 23, 2020 - Home health staff perspectives on infection prevention
and control: implications for Coronavirus Disease 2019.
December 23, 2020
Pogorzelska-Maziarz M, Chastain AM, Mangal S, et al. Home health staff perspectives on infection
prevention and control: implications for Coronavirus Disease 2019. J Am Med Dir Assoc.
20…
-
psnet.ahrq.gov/node/837595/psn-pdf
June 29, 2022 - Changes to primary care delivery during the COVID-19
pandemic and perceived impact on medication safety: a
survey study.
June 29, 2022
Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic
and perceived impact on medication safety: a survey study. Explor Res Clin Soc…
-
psnet.ahrq.gov/node/837069/psn-pdf
January 01, 2024 - Usability of a human factors-based clinical decision
support in the emergency department: lessons learned
for design and implementation.
May 11, 2022
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support
in the emergency department: lessons learned for design and …
-
psnet.ahrq.gov/node/72509/psn-pdf
November 25, 2020 - Closing the loop on test results to reduce communication
failures: a rapid review of evidence, practice and patient
perspectives.
November 25, 2020
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a
rapid review of evidence, practice and patient perspectives.…