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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45526/psn-pdfJanuary 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865597/psn-pdfApril 17, 2024 - Discharge from Mental Health Care: Making it Safe and Patient-centred. April 17, 2024 Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. https://psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred The provision of safe mental health care is receiving increased … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41663/psn-pdfJanuary 31, 2013 - Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. January 31, 2013 Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple co… -
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/43316/psn-pdfJuly 02, 2014 - Optimizing transitions of care to reduce rehospitalizations. July 2, 2014 Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations Care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38952/psn-pdfSeptember 16, 2009 - Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. September 16, 2009 Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative management. Am Surg. 2009;75(7):558-6… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47994/psn-pdfJuly 16, 2019 - What's in a name? Newborn naming conventions and wrong-patient errors. July 16, 2019 ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019. https://psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors Newborns assigned temporary names are at increased risk for patient misi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35061/psn-pdfMarch 03, 2011 - Resident work hour limits and patient safety. March 3, 2011 Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. https://psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety Resident work hour limitations have been enfor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851069/psn-pdfJune 28, 2023 - Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. June 28, 2023 Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2022-015680. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47734/psn-pdfMarch 13, 2019 - Medicare trims payments to 800 hospitals, citing patient safety incidents. March 13, 2019 Rau J. Kaiser Health News. March 1, 2019. https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents Financial incentives may encourage adoption of practice improvements that enhance sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837430/psn-pdfJune 15, 2022 - Stop using these adult bed rails, warns the Consumer Product Safety Commission. June 15, 2022 Treisman R. National Public Radio. June 6, 2022 https://psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission Bedrails are used in hospitals and at home to minimize falls despite t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41684/psn-pdfJuly 01, 2013 - What causes adverse events in prehospital care? A human-factors approach. July 1, 2013 Price R, Bendall JC, Patterson JA, et al. What causes adverse events in prehospital care? A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. https://psnet.ahrq.gov/issue/what-causes-adverse… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35175/psn-pdfJune 23, 2009 - Overnight and postcall errors in medication orders. June 23, 2009 Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37512/psn-pdfFebruary 06, 2008 - Risk factors in preventable adverse drug events in pediatric outpatients. February 6, 2008 Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054. https://psnet.ahrq.gov/issue/risk-factors-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74756/psn-pdfFebruary 09, 2022 - Medication errors in overweight and obese pediatric patients: a systematic review. February 9, 2022 Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j.jcjq.2021.12.005. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37050/psn-pdfSeptember 29, 2011 - Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. September 29, 2011 O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Clin Nurse Spec. 2007;21(3):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45724/psn-pdfJuly 21, 2017 - Remembering to learn: the overlooked role of remembrance in safety improvement. July 21, 2017 Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42629/psn-pdfOctober 02, 2013 - The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. October 2, 2013 Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurrence of Reported Paediatric Medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45391/psn-pdfAugust 10, 2016 - Where are my instruments? Hazards in delivery of surgical instruments. August 10, 2016 Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. https://psnet.ahrq.gov/issue/where-are-my-in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47914/psn-pdfMay 22, 2019 - Hospitals look to computers to predict patient emergencies before they happen. May 22, 2019 Ross C. STAT. May 13, 2019. https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring …
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