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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44430/psn-pdfOctober 28, 2015 - The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015 Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care. Reliab Eng Syst Saf.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41643/psn-pdfSeptember 05, 2012 - A Randomized Field Study of a Leadership WalkRounds- Based Intervention. September 5, 2012 Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention Leadership WalkRounds h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848816/psn-pdfMay 10, 2023 - Racial bias in cesarean decision-making. May 10, 2023 Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making Racial bias negatively impacts maternal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46844/psn-pdfMarch 07, 2018 - Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. March 7, 2018 Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience. Health Aff (Millwood). 2018;37(2):205-212. doi:10.1377/hlthaff.2017.1144. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45729/psn-pdfSeptember 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44514/psn-pdfApril 05, 2016 - Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. April 5, 2016 Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication selection and preparation error r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838310/psn-pdfOctober 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837514/psn-pdfJune 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850171/psn-pdfJune 07, 2023 - Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. June 7, 2023 Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res Perspect. 2023;11(3):e01092. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44361/psn-pdfNovember 20, 2015 - Communication in healthcare: a narrative review of the literature and practical recommendations. November 20, 2015 Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45436/psn-pdfAugust 31, 2016 - Improving the communication between teams managing boarded patients on a surgical specialty ward. August 31, 2016 Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45643/psn-pdfNovember 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72785/psn-pdfJuly 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). July 22, 2024 Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266. https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39645/psn-pdfAugust 03, 2010 - Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. August 3, 2010 Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. Am J Med Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50555/psn-pdfOctober 16, 2019 - Improving critical incident reporting in primary care through education and involvement. October 16, 2019 Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856634/psn-pdfJanuary 01, 2024 - Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. November 29, 2023 Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74078/psn-pdfNovember 17, 2021 - Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. November 17, 2021 Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Safety Sci. 2021;143:105417. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72797/psn-pdfMarch 03, 2021 - Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. March 3, 2021 Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. Res Social Adm Pha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852451/psn-pdfAugust 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35210/psn-pdfJune 24, 2009 - Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. June 24, 2009 Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Syst Pharm. 2005;62(15):1592-5. https:/…
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