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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40427/psn-pdfMay 04, 2011 - Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. May 4, 2011 Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. J Am Med Inf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39088/psn-pdfSeptember 01, 2015 - Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. September 1, 2015 Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866958/psn-pdfOctober 16, 2024 - Beyond error: a qualitative study of human factors in serious adverse events. October 16, 2024 Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. https://psnet.ahrq.gov/issue/beyond-error-qualitative-study… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35159/psn-pdfJanuary 02, 2017 - Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. January 2, 2017 Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838128/psn-pdfSeptember 21, 2022 - Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. September 21, 2022 Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. J … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48018/psn-pdfJuly 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342. doi:10.1097/SIH.0000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48034/psn-pdfMay 22, 2019 - Chasing zero harm in radiation oncology: using pre- treatment peer review. May 22, 2019 Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre- treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. https://psnet.ahrq.gov/issue/chasing-zero-harm-ra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46815/psn-pdfApril 29, 2018 - Designing and evaluating an automated system for real- time medication administration error detection in a neonatal intensive care unit. April 29, 2018 Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43516/psn-pdfJune 15, 2017 - Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. June 15, 2017 Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the Emergency Department. J Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42885/psn-pdfJanuary 22, 2014 - Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. January 22, 2014 Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst Pharm. 2014;71(1):58-67. doi:10.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72569/psn-pdfJanuary 01, 2021 - Risk factors associated with medication ordering errors. December 16, 2020 Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44952/psn-pdfMarch 02, 2016 - Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. March 2, 2016 Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferences. Jt Comm J Qual Patient Saf. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45857/psn-pdfJuly 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45031/psn-pdfFebruary 18, 2017 - Information transfer in multidisciplinary operating room teams: a simulation-based observational study. February 18, 2017 Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation- based observational study. BMJ Qual Saf. 2017;26(3):209-216. doi:10.1136/bmjqs-2015-00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44001/psn-pdfMay 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. May 6, 2015 Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. https://psnet.ahrq.gov/issue/wrong-si… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43182/psn-pdfMay 14, 2014 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? May 14, 2014 Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866855/psn-pdfOctober 02, 2024 - Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. October 2, 2024 Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Contemp Nurse. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50938/psn-pdfFebruary 26, 2020 - Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. February 26, 2020 Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the impact of a chemotherapy comp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45138/psn-pdfMay 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47161/psn-pdfJuly 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…
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