-
psnet.ahrq.gov/node/43729/psn-pdf
November 21, 2017 - Medical harm: patient perceptions and follow-up actions.
November 21, 2017
Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J
Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136.
https://psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follo…
-
psnet.ahrq.gov/node/41539/psn-pdf
January 07, 2015 - Dying for the weekend: a retrospective cohort study on
the association between day of hospital presentation and
the quality and safety of stroke care.
January 7, 2015
Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association
between day of hospital presentation and…
-
psnet.ahrq.gov/node/47152/psn-pdf
October 12, 2018 - A quality initiative: a system-wide reduction in serious
medication events through targeted simulation training.
October 12, 2018
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious
Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…
-
psnet.ahrq.gov/node/39143/psn-pdf
February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge
program: a quasi-experimental study.
February 14, 2011
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a
quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
-
psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - Outpatient CPOE orders discontinued due to 'erroneous
entry': prospective survey of prescribers' explanations for
errors.
March 21, 2018
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry':
prospective survey of prescribers' explanations for errors. BMJ Qual Saf.…
-
psnet.ahrq.gov/node/36366/psn-pdf
April 11, 2011 - Adverse events in the neonatal intensive care unit:
development, testing, and findings of an NICU-focused
trigger tool to identify harm in North American NICUs.
April 11, 2011
Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development,
testing, and findings of an NICU-foc…
-
psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - Two-state collaborative study of a multifaceted
intervention to decrease ventilator-associated events.
July 11, 2017
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease
Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215.
doi:10.1097/CCM.0000000000…
-
psnet.ahrq.gov/node/845278/psn-pdf
March 01, 2023 - Association between opioid tapering and subsequent
health care use, medication adherence, and chronic
condition control.
March 1, 2023
Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care
use, medication adherence, and chronic condition control. JAMA Netw Open. 2023…
-
psnet.ahrq.gov/node/73241/psn-pdf
May 12, 2021 - Delayed or failure to follow-up abnormal breast cancer
screening mammograms in primary care: a systematic
review.
May 12, 2021
Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening
mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi:10.11…
-
psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
-
psnet.ahrq.gov/node/44004/psn-pdf
September 01, 2016 - Impact of computerized physician order entry alerts on
prescribing in older patients.
September 1, 2016
Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing
in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015-0244-2.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - Patient record review of the incidence, consequences,
and causes of diagnostic adverse events.
April 30, 2014
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes
of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21.
doi:10.1001/archinternmed.2010.…
-
psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient
safety events for hospitalized children.
December 19, 2018
Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient
Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…
-
psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - Impact of inpatient harms on hospital finances and
patient clinical outcomes.
May 19, 2018
Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J
Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171.
https://psnet.ahrq.gov/issue/impact-inpatient-harms…
-
psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - Characterising the complexity of medication safety using
a human factors approach: an observational study in two
intensive care units.
October 31, 2014
Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a
human factors approach: an observational study in two inten…
-
psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an
academic medical center.
December 2, 2009
Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an academic medical c…
-
psnet.ahrq.gov/node/44372/psn-pdf
June 21, 2016 - Hospital characteristics associated with penalties in the
Centers for Medicare & Medicaid Services Hospital-
Acquired Condition Reduction Program.
June 21, 2016
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers
for Medicare & Medicaid Services Hospital-Acquire…
-
psnet.ahrq.gov/node/45356/psn-pdf
May 09, 2017 - Screening for medication errors using an outlier detection
system.
May 9, 2017
Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system.
J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171.
https://psnet.ahrq.gov/issue/screening-medication-errors-u…
-
psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering
overnight inquiries.
November 20, 2013
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering
overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
https://psnet.ahrq.gov/issue/effec…
-
psnet.ahrq.gov/node/43341/psn-pdf
July 23, 2014 - Effectiveness of different nursing handover styles for
ensuring continuity of information in hospitalised
patients.
July 23, 2014
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring
continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…