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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41186/psn-pdfJanuary 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44033/psn-pdfApril 22, 2015 - Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. April 22, 2015 Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44886/psn-pdfSeptember 27, 2016 - Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? September 27, 2016 Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844754/psn-pdfSeptember 18, 2019 - How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. September 18, 2019 Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73666/psn-pdfSeptember 01, 2021 - Implementation of participatory organizational change in long term care to improve safety. September 1, 2021 Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr.2021.05.002. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60636/psn-pdfJuly 01, 2020 - Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. July 1, 2020 Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30- Day Readmission Rates in a Skilled Nursing Facility. J Pharm Pract. 2020;33(3):306-3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47608/psn-pdfMarch 20, 2019 - Use of a public health law framework to improve medication safety by anesthesia providers. March 20, 2019 Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383. https://psnet.ahrq.gov/issue/us… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865665/psn-pdfApril 24, 2024 - Unveiling the hidden struggle of healthcare students as second victims through a systematic review. April 24, 2024 Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72545/psn-pdfDecember 09, 2020 - Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. December 9, 2020 Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/pts.0000000000000560. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865921/psn-pdfMay 22, 2024 - Enhanced free-text search for aggregated medication error report analysis and risk detection. May 22, 2024 Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi:10.1097/pts.0000000000001218. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854829/psn-pdfJanuary 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. October 25, 2023 Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering incident reporters' perspectives. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866695/psn-pdfSeptember 11, 2024 - Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. September 11, 2024 Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47566/psn-pdfJanuary 30, 2019 - Important factors for effective patient safety governance auditing: a questionnaire survey. January 30, 2019 van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47654/psn-pdfFebruary 27, 2019 - The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019 Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60188/psn-pdfJanuary 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44792/psn-pdfJanuary 13, 2016 - At the hospital, better responses to those beeping alarms. January 13, 2016 Landro L. Wall Street Journal. January 4, 2016. https://psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms Alert fatigue is a well-known problem in hospitals. This newspaper article reports on efforts to reduce unnecessary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47909/psn-pdfMay 29, 2019 - Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. May 29, 2019 Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837420/psn-pdfJune 15, 2022 - The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency. June 15, 2022 Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service ef… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60002/psn-pdfMarch 04, 2020 - Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance March 4, 2020 Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood of Patient Harm Associated with the Use … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852453/psn-pdfJanuary 01, 2024 - Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort. August 16, 2023 Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. doi:10.1136/bmjqs-2022-015786. htt…
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