-
psnet.ahrq.gov/node/863212/psn-pdf
February 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and
adVerse drug evEnts for patients with mental illness in
community caRe (DISCOVER): a qualitative study.
February 28, 2024
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug
evEnts for patients with mental illness in …
-
psnet.ahrq.gov/node/72720/psn-pdf
February 10, 2021 - Health system leaders' role in addressing racism: time to
prioritize eliminating health care disparities.
February 10, 2021
Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize
Eliminating Health Care Disparities. Jt Comm J Qual Patient Saf. 2020;47(4):265-267.
doi…
-
psnet.ahrq.gov/node/844052/psn-pdf
July 01, 2012 - Does responsibility affect the public's valuation of health
care interventions? A relative valuation approach to
health care safety.
July 1, 2012
Singh J, Lord J, Longworth L, et al. Does responsibility affect the public's valuation of health care
interventions? A relative valuation approach to health care safety.…
-
psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - Implementing an electronic root cause analysis reporting
system to decrease hospital-acquired pressure injuries.
May 24, 2023
Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-
acquired pressure injuries. J Healthc Qual. 2023;45(3):125-132. doi:10.1097/jhq.0000000000…
-
psnet.ahrq.gov/node/43775/psn-pdf
November 29, 2017 - The effects of hospital safety scores, total price, out-of-
pocket cost, and household income on consumers' self-
reported choice of hospitals.
November 29, 2017
Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost,
and Household Income on Consumers' Self-reporte…
-
psnet.ahrq.gov/node/836991/psn-pdf
April 27, 2022 - Nearly all thirty most frequently used emergency
department drugs experienced shortages from 2006-2019.
April 27, 2022
Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department
drugs experienced shortages from 2006–2019. Am J Emerg Med. 2022;53:135-139.
doi:10.1016/j.a…
-
psnet.ahrq.gov/node/47403/psn-pdf
November 07, 2018 - Defining minimum necessary anticoagulation-related
communication at discharge: Consensus of the Care
Transitions Task Force of the New York State
Anticoagulation Coalition.
November 7, 2018
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Communication
at Discharge: Consens…
-
psnet.ahrq.gov/node/72548/psn-pdf
January 01, 2021 - Better nurse staffing is associated with survival for Black
patients and diminishes racial disparities in survival after
in-hospital cardiac arrests.
December 9, 2020
Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black
patients and diminishes racial disparities i…
-
psnet.ahrq.gov/node/41265/psn-pdf
January 03, 2017 - Detecting unapproved abbreviations in the electronic
medical record.
January 3, 2017
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical
record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
https://psnet.ahrq.gov/issue/detecting-…
-
psnet.ahrq.gov/node/43363/psn-pdf
September 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…
-
psnet.ahrq.gov/node/846155/psn-pdf
March 15, 2023 - Reduction in omission events after implementing a rapid
response system: a mortality review in a department of
gastrointestinal surgery.
March 15, 2023
Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid
Response System: a mortality review in a department of gastrointesti…
-
psnet.ahrq.gov/node/45966/psn-pdf
April 05, 2017 - Fundamental Use of Surgical Energy (FUSE): an essential
educational program for operating room safety.
April 5, 2017
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential
Educational Program for Operating Room Safety. Perm J. 2017;21:16-050. doi:10.7812/TPP/16-050.
https://…
-
psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study.
December 4, 2024
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a
mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774.
https://psnet.ahr…
-
psnet.ahrq.gov/node/38029/psn-pdf
September 03, 2008 - Minimizing surgical error by incorporating objective
assessment into surgical education.
September 3, 2008
Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into
Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038.
https://psnet.ahr…
-
psnet.ahrq.gov/node/48186/psn-pdf
August 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 …
-
psnet.ahrq.gov/node/50935/psn-pdf
February 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…
-
psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
-
psnet.ahrq.gov/node/47719/psn-pdf
July 01, 2019 - Medication errors in community pharmacies: the need for
commitment, transparency, and research.
July 1, 2019
Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment,
transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826.
doi:10.1016/j.sapharm.2018.11.014.
https…
-
psnet.ahrq.gov/node/36303/psn-pdf
October 25, 2010 - Medication dispensing errors and potential adverse drug
events before and after implementing bar code
technology in the pharmacy.
October 25, 2010
Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events
before and after implementing bar code technology in the pharmacy. …
-
psnet.ahrq.gov/node/848317/psn-pdf
May 03, 2023 - Uptake of pharmacist recommendations by patients after
discharge: implementation study of a patient-centered
medicines review service.
May 3, 2023
Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge:
implementation study of a patient-centered medicines review service. BMC…