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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74126/psn-pdfDecember 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. December 1, 2021 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncont… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48123/psn-pdfAugust 28, 2019 - Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019 Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398. https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866405/psn-pdfJuly 31, 2024 - Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. July 31, 2024 Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in response to fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60591/psn-pdfJune 17, 2020 - National trends in the safety performance of electronic health record systems from 2009 to 2018. June 17, 2020 Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39405/psn-pdfMarch 31, 2010 - ED overcrowding is associated with an increased frequency of medication errors. March 31, 2010 Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. https://psnet.ahrq.gov/issue/ed-ov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50853/psn-pdfJanuary 29, 2020 - Design and impact of a novel surgery-specific second victim peer support program. January 29, 2020 El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2019;230(6):926-933. doi:10.1016/j.jamcollsurg.2019.10.015. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60279/psn-pdfApril 29, 2020 - Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. April 29, 2020 Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis for theory development. BMC Healt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842764/psn-pdfJanuary 18, 2023 - Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. January 18, 2023 Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de- prescribing in multiple Veterans Affairs medical centers. J Gen Intern Med. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837692/psn-pdfJuly 20, 2022 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing during the Agen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43258/psn-pdfMay 01, 2015 - Interventions employed to improve intrahospital handover: a systematic review. May 1, 2015 Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. https://psnet.ahrq.gov/issue/interventions-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43679/psn-pdfMay 22, 2015 - Patient safety goals for the proposed Federal Health Information Technology Safety Center. May 22, 2015 Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838306/psn-pdfOctober 12, 2022 - Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. October 12, 2022 Singh H, Mushtaq U, Marinez A, et al. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to Address Diagnostic Errors. Jt Comm J Qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39570/psn-pdfSeptember 20, 2011 - Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. September 20, 2011 Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population. Ann Surg. 2010;251(5). doi:10.1097/sla.0b013e3181d9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73197/psn-pdfApril 28, 2021 - Medical Office Survey: 2020 User Database Report. April 28, 2021 Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034. https://psnet.ahrq.gov/issue/medical-office-survey-2020-user… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866584/psn-pdfAugust 28, 2024 - Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. August 28, 2024 Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours throu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60539/psn-pdfJuly 10, 2017 - Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. July 10, 2017 Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847716/psn-pdfApril 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. April 19, 2023 Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47502/psn-pdfJune 02, 2019 - Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. June 2, 2019 Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event. Anesthesiology. 2019;130(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42038/psn-pdfJune 03, 2013 - A systematic review of simulation for multidisciplinary team training in operating rooms. June 3, 2013 Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39122/psn-pdfJanuary 03, 2017 - Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. January 3, 2017 Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Jt Comm J Qual Patient Saf.…
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