-
psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - Slow Down: Right Drug, Wrong Formulation
January 1, 2018
Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
The Case
A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitaliz…
-
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/node/33675/psn-pdf
October 01, 2008 - Identifying Adverse Events Not Present on Admission:
Can We Do It?
October 1, 2008
Naessens JM. Identifying Adverse Events Not Present on Admission: Can We Do It? PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
Perspective
Interest is growi…
-
psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - New Oral Anticoagulants
December 1, 2013
Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants
Case Objectives
Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran,
rivaroxaban, and apixaban.
State key perioperative c…
-
psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - programs that reward individual physicians or small practices or perhaps a hospital or a health care institution
-
psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - easier or harder to make some of the needed cultural changes at Partners than it might be at another
institution
-
psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Mark L. Graber, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
…
-
psnet.ahrq.gov/node/38237/psn-pdf
October 05, 2021 - The Safety Competencies Framework.
October 5, 2021
Ottawa, ON: Canadian Patient Safety Institute; 2020.
https://psnet.ahrq.gov/issue/safety-competencies-framework
This initative defines competency domains for safe health care and outlines educational practices to
achieve them. The 2nd edition of the Patient Safety…
-
psnet.ahrq.gov/node/39346/psn-pdf
March 10, 2010 - How-to Guide: Multidisciplinary Rounds.
March 10, 2010
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
This manual offers practical advice on how to plan for and implement care team rounds that involve a
variety of health care prov…
-
psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
-
psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - SPOTLIGHT CASE
The Missing Abscess: Radiology Reads in the Digital Era
Citation Text:
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation…
-
psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Medication Reconciliation With a Twist (or Dare We Say, a
Patch?)
May 1, 2014
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
Case Objectives
Appreciate that medication discrepanc…
-
psnet.ahrq.gov/node/40246/psn-pdf
February 23, 2011 - Global Patient Safety Alerts.
February 23, 2011
Canadian Patient Safety Institute; CPSI.
https://psnet.ahrq.gov/issue/global-patient-safety-alerts
This Web site provides access to incident reports with the aim of stimulating innovation and driving patient
safety improvement efforts.
https://psnet.ahrq.gov/issue/g…
-
psnet.ahrq.gov/node/42428/psn-pdf
July 17, 2013 - Conversations with...Lucian Leape, MD.
July 17, 2013
Lundberg G. MedPage Today. July 5, 2013.
https://psnet.ahrq.gov/issue/conversations-withlucian-leape-md
This interview with Dr. Lucian Leape highlights progress in patient safety and areas that still need
improvement.
https://psnet.ahrq.gov/issue/conversations-…
-
psnet.ahrq.gov/node/37142/psn-pdf
August 29, 2007 - Patient Safety in Canada: An Update.
August 29, 2007
Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
https://psnet.ahrq.gov/issue/patient-safety-canada-update
Using survey data as well as information on patient safety indicators, this report provides an update on the
frequency of certain ty…
-
psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.
Citation Text:
Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…
-
psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views
February 13, 2019 - Study
Patient participation in patient safety still missing: patient safety experts' views.
Citation Text:
Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ij…
-
psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
January 06, 2017 - Study
Medication errors involving oral chemotherapy.
Citation Text:
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X…
-
psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
February 15, 2011 - Study
Detection of adverse events in surgical patients using the Trigger Tool approach.
Citation Text:
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
Cop…
-
psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-evidence-based-tips
February 12, 2020 - Commentary
Managing teamwork in the face of pandemic: evidence-based tips.
Citation Text:
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
Copy Citation
Format…