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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34881/psn-pdfJanuary 05, 2017 - Communicating critical test results: safe practice recommendations. January 5, 2017 Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46141/psn-pdfMay 17, 2017 - Ethical dilemma in missed melanoma: what to tell the patient and other providers. May 17, 2017 Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030. https://psnet.ahrq.gov/issue/et… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47013/psn-pdfApril 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73405/psn-pdfJune 16, 2021 - 2020 Eisenberg Award recipients announced by The Joint Commission, National Quality Forum. June 16, 2021 Oakbrook Terrace, IL: Joint Commission: June 8, 2021. https://psnet.ahrq.gov/issue/2020-eisenberg-award-recipients-announced-joint-commission-national- quality-forum The Eisenberg Award honors individuals and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841760/psn-pdfDecember 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. December 21, 2022 Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43021/psn-pdfNovember 04, 2014 - Patient safety culture transformation in a children's hospital: an interprofessional approach. November 4, 2014 Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64. doi:10.3109/13561820.2014.88593… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43188/psn-pdfMay 21, 2014 - Training induces cognitive bias: the case of a simulation- based emergency airway curriculum. May 21, 2014 Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.1097/SIH.0b013e3182a90304. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44839/psn-pdfFebruary 03, 2016 - Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. February 3, 2016 Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The American Organization of Nurse … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44051/psn-pdfAugust 02, 2015 - Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. August 2, 2015 Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847729/psn-pdfApril 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing errors. April 19, 2023 Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. https://psnet.ahrq.gov/issue/stamp-5-year-project… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46376/psn-pdfDecember 07, 2017 - User-centered collaborative design and development of an inpatient safety dashboard. December 7, 2017 Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. doi:10.1016/j.jcjq.2017.05.010. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837895/psn-pdfAugust 24, 2022 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. August 24, 2022 Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):1144-1150. doi:10.1111/pan.14535.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72744/psn-pdfFebruary 17, 2021 - Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. February 17, 2021 Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46086/psn-pdfAugust 30, 2017 - Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. August 30, 2017 Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678. https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second- edition The Cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46079/psn-pdfJune 28, 2017 - Death due to pharmacy compounding error reinforces need for safety focus. June 28, 2017 ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus Compounding pharmacies prepare medicines for patients that a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45745/psn-pdfAugust 02, 2017 - Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. August 2, 2017 Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65… -
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/48048/psn-pdfJuly 17, 2019 - Independent Review of Gross Negligence Manslaughter and Culpable Homicide. July 17, 2019 Manchester, UK: General Medical Council; June 2019. https://psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide Finding the appropriate balance between assigning criminality and accounta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844768/psn-pdfSeptember 11, 2019 - Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.… -
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-questions.pdfJune 01, 2021 - Four Moments of Antibiotic Decision Making in Long Term Care_Questions The Four Moments of Antibiotic Decision Making in Long-Term Care Moment 1 Make the Diagnosis Does the resident have symptoms that suggest an infection? • Fever • Productive cough • Dysuria • Purulence from skin • Warm, red skin Moment 2 Cu…
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