-
psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error
February 1, 2004
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
Case Objectives
Understand the importance of ongoing patient re-evaluati…
-
psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Wrong Catheter in the Right Patient
May 27, 2020
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
The Case
A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had
two?peripheral…
-
psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - Double Trouble
September 1, 2005
Gurwitz JH. Double Trouble. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/double-trouble
Case Objectives
Appreciate the incidence of adverse drug events in older persons
List preventative measures that can be used to minimize medication errors in this population
Encourage…
-
psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - Discharge Planning and Transitions of Care
Citation Text:
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibT…
-
psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lapse in Antibiotics Leads to Sepsis
Citation Text:
Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
-
psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Primary Workaround, Secondary Complication
Citation Text:
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar B…
-
psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023
Also Read the Essay
Citation Text:
In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023.In…
-
psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
Also Read the Essay
View more articles from the same authors.
Citation…
-
psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Dykes PC, Sousane Z, Mossb…
-
psnet.ahrq.gov/node/72495/psn-pdf
November 25, 2020 - Adverse events in Italian nursing homes during the
COVID-19 epidemic: a national survey.
November 25, 2020
Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19
epidemic: a national survey. Front Psychiatry. 2020;11:578465.
https://psnet.ahrq.gov/issue/adverse-events-i…
-
psnet.ahrq.gov/node/867684/psn-pdf
March 05, 2025 - Development of a preliminary patient safety classification
system for generative AI.
March 5, 2025
Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for
generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/866595/psn-pdf
August 28, 2024 - Implementation, Adoption, and Scaling Workgroup:
Landscape Assessment on the Use of Artificial
Intelligence to Scale PC CDS.
August 28, 2024
Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup:
Landscape Assessment On The Use Of Artificial Intelligence To Scale Pc Cds. Roc…
-
psnet.ahrq.gov/node/860388/psn-pdf
January 10, 2024 - Patient reasoning: patients' and care partners'
perceptions of diagnostic accuracy in emergency care.
January 10, 2024
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions
of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111.
doi:10.1177/…
-
psnet.ahrq.gov/node/839313/psn-pdf
November 02, 2022 - The impact of meaningful use and electronic health
records on hospital patient safety.
November 2, 2022
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on
hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525.
https…
-
psnet.ahrq.gov/node/847531/psn-pdf
April 12, 2023 - Strengthening open disclosure after incidents in
maternity care: a realist synthesis of international
research evidence.
April 12, 2023
Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a
realist synthesis of international research evidence. BMC Health Serv Res.…
-
psnet.ahrq.gov/node/47932/psn-pdf
August 21, 2019 - Ensuring effective care transition communication:
implementation of an electronic medical record-based
tool for improved cancer treatment handoffs between
clinic and infusion nurses.
August 21, 2019
Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation
of an Elec…
-
psnet.ahrq.gov/node/851189/psn-pdf
July 05, 2023 - So many ways to be wrong: completeness and accuracy
in a prospective study of OR-to-ICU handoff
standardization.
July 5, 2023
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a
prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…
-
psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…
-
psnet.ahrq.gov/node/838250/psn-pdf
October 06, 2022 - The impact of electronic communication of medication
discontinuation (CancelRx) on medication safety: a pilot
study.
October 6, 2022
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation
(CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
-
psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…