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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44332/psn-pdfJuly 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44457/psn-pdfSeptember 29, 2017 - Hospitals slow to adopt patient apology policies. September 29, 2017 Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30. https://psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies Communication-and-resolution approaches to medical errors have garnered … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37847/psn-pdfJune 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37415/psn-pdfMarch 03, 2011 - Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. March 3, 2011 Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ. 2007;335(7631)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39943/psn-pdfOctober 27, 2010 - Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. October 27, 2010 Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010;67(19):1592-4. doi:10.2146/ajhp090189… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848044/psn-pdfApril 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38644/psn-pdfMay 20, 2009 - A quality initiative to decrease pathology specimen- labeling errors using radiofrequency identification in a high-volume endoscopy center. May 20, 2009 Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume en… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72786/psn-pdfFebruary 24, 2021 - Drug shortages amid the COVID-19 pandemic. February 24, 2021 Bookwalter CM. US Pharmacist. 2021;46(2):25-28. https://psnet.ahrq.gov/issue/drug-shortages-amid-covid-19-pandemic COVID-19 has increased uncertainties in sectors across health care. This article discusses a variety of supply-chain fact… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845080/psn-pdfFebruary 22, 2023 - A high-reliability organization mindset. February 22, 2023 Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. https://psnet.ahrq.gov/issue/high-reliability-organization-mindset The goal for health care organiz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38061/psn-pdfNovember 08, 2008 - Medication errors in pediatric inpatients: prevalence and results of a prevention program. November 8, 2008 Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/peds.2008-0014. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38803/psn-pdfDecember 14, 2016 - Improving patient safety: effects of a safety program on performance and culture in a department of radiology. December 14, 2016 Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. AJR Am J Roentgenol. 2009;1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43493/psn-pdfFebruary 18, 2015 - Hospital tones down alarms to reduce fatigue, enhance safety. February 18, 2015 Olson J. https://psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety Alarm fatigue has been recognized as a contributor to serious errors in hospitals. Reporting on how nuisance alarms increase risks, this ne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44612/psn-pdfOctober 28, 2015 - Transitional chaos or enduring harm? The EHR and the disruption of medicine. October 28, 2015 Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39817/psn-pdfMarch 18, 2011 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. March 18, 2011 White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Qual Saf Health … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47142/psn-pdfJune 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations Health information t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34661/psn-pdfMarch 07, 2005 - Teaching smart people how to learn. March 7, 2005 Argyris C. Harvard Business Review. 1991:69(May-June):99+. https://psnet.ahrq.gov/issue/teaching-smart-people-learn Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in order to continually improve and succeed, but … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46272/psn-pdfJanuary 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42727/psn-pdfNovember 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications. November 13, 2013 Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. https://psnet.ahrq.gov/issue/impact-electron… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44339/psn-pdfJuly 29, 2015 - Rapid response systems: a systematic review and meta- analysis. July 29, 2015 Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38385/psn-pdfFebruary 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. February 4, 2009 Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Int J Med Inform. 2008…
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