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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50832/psn-pdfJanuary 01, 2021 - Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. January 29, 2020 Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quant… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73286/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837069/psn-pdfJanuary 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856587/psn-pdfJanuary 01, 2024 - Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice. November 29, 2023 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73363/psn-pdfJune 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37075/psn-pdfOctober 03, 2011 - Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. October 3, 2011 McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74061/psn-pdfNovember 10, 2021 - Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. November 10, 2021 Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;18(9):1310-1316. doi:10.1016/j.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867017/psn-pdfOctober 23, 2024 - Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. October 23, 2024 Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42641/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851200/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73137/psn-pdfApril 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72497/psn-pdfNovember 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/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44857/psn-pdfMarch 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74832/psn-pdfFebruary 16, 2022 - Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. February 16, 2022 Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (Basel). 2022;10(1):97. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37745/psn-pdfMay 07, 2008 - Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. May 7, 2008 Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36457/psn-pdfMay 27, 2011 - Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. May 27, 2011 Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838631/psn-pdfOctober 19, 2022 - An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations: cultivating organization wide quali… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43363/psn-pdfSeptember 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48186/psn-pdfAugust 28, 2019 - Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study. August 28, 2019 Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START criteria and its association with … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50935/psn-pdfFebruary 26, 2020 - Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. February 26, 2020 Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…
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