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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43824/psn-pdfJanuary 21, 2015 - Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. January 21, 2015 Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2014;9(12):e114359. doi:10.1371/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45491/psn-pdfMay 09, 2017 - A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. May 9, 2017 Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing errors generated from using computerize… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60202/psn-pdfApril 08, 2020 - Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study April 8, 2020 Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an electronic clinical decision support … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38902/psn-pdfNovember 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the national poison data system. November 13, 2009 Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823. https://psnet.ahrq.gov/issue/o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45385/psn-pdfJanuary 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60222/psn-pdfApril 15, 2020 - Interventions to improve team effectiveness within health care: a systematic review of the past decade. April 15, 2020 Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1). doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47946/psn-pdfMay 22, 2019 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013- 2017. May 22, 2019 Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011- 2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45797/psn-pdfOctober 31, 2017 - Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. October 31, 2017 Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality and Patient Safety. 2016;43(1)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43553/psn-pdfAugust 28, 2017 - Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. August 28, 2017 Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41866/psn-pdfNovember 28, 2012 - "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. November 28, 2012 Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qual Saf. 2012;21 Suppl 1:i67-75. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44882/psn-pdfJuly 18, 2016 - An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. July 18, 2016 Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Childhood Cancer. J Natl Cancer Inst. 2016;1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42968/psn-pdfFebruary 26, 2014 - From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. February 26, 2014 Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-se… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45407/psn-pdfSeptember 27, 2016 - Safety of the Manchester Triage System to detect critically ill children at the emergency department. September 27, 2016 Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department. J Pediatr. 2016;177:232-237.e1. doi:10.1016/j.j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41408/psn-pdfOctober 19, 2012 - Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. October 19, 2012 Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001-201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46975/psn-pdfNovember 16, 2018 - Electronic health record usability issues and potential contribution to patient harm. November 16, 2018 Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):1276-1278. doi:10.1001/jama.2018.1171. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46504/psn-pdfFebruary 22, 2018 - How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. February 22, 2018 Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. BMJ Qual Saf. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40946/psn-pdfJanuary 19, 2012 - Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 19, 2012 Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38116/psn-pdfFebruary 18, 2011 - Factors associated with intern fatigue. February 18, 2011 Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3. https://psnet.ahrq.gov/issue/factors-associated-intern-fatigue Reducing duty hours for physicians in train… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46864/psn-pdfAugust 17, 2018 - Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. August 17, 2018 Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. BMJ Qual Saf. 2018;27(9):718-724. doi:10.1136… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46299/psn-pdfSeptember 13, 2017 - Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017 Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 2017;127(3):475-489. doi:10.1097…
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