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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48062/psn-pdfAugust 07, 2019 - Ten ways to improve medication safety in community pharmacies. August 7, 2019 Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies Med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867097/psn-pdfNovember 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45449/psn-pdfOctober 29, 2017 - Situational awareness—what it means for clinicians, its recognition and importance in patient safety. October 29, 2017 Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38189/psn-pdfNovember 14, 2011 - Errors, near misses and adverse events in the emergency department: what can patients tell us? November 14, 2011 Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427. https://psnet.ahrq.gov/issue/errors-near-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60261/psn-pdfApril 22, 2020 - Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23- 27, 2020. April 22, 2020 Washington DC: Office of the Inspector General; April 3, 2020. Report no. OEI-06-20-00300. https://psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47836/psn-pdfMay 29, 2019 - FDA to end program that hid millions of reports on faulty medical devices. May 29, 2019 Jewett C. Kaiser Health News. May 3, 2019. https://psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices Transparency has been heralded as a cornerstone to improvement in health care. This news articl… -
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/44253/psn-pdfAugust 24, 2015 - Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. August 24, 2015 Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the Unit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44607/psn-pdfAugust 19, 2016 - Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. August 19, 2016 Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/bmjqs-2015-004589. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40984/psn-pdfSeptember 01, 2016 - Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. September 1, 2016 Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downstream of CPOE alerts. J Am Med … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34803/psn-pdfJanuary 05, 2017 - Systematic root cause analysis of adverse drug events in a tertiary referral hospital. January 5, 2017 Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836755/psn-pdfMarch 16, 2022 - Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. March 16, 2022 Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844774/psn-pdfSeptember 11, 2019 - Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. September 11, 2019 Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501. https://psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices Human-centered processes, techno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47747/psn-pdfMarch 13, 2019 - A piece of my mind. Hard times and hard stops. March 13, 2019 Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. https://psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops Implementing new information systems can have unintended consequences on processes. This… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50569/psn-pdfOctober 23, 2019 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. October 23, 2019 Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72600/psn-pdfDecember 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46669/psn-pdfJanuary 17, 2018 - Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. January 17, 2018 Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44653/psn-pdfNovember 18, 2015 - Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests. November 18, 2015 Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests: classification and frequency of data-entr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46530/psn-pdfFebruary 03, 2018 - Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. February 3, 2018 Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Am J Health Syst Pharm. 2017… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47912/psn-pdfApril 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
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