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Factors influencing in-hospital prescribing errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/factors-influencing-hospital-prescribing-errors-systematic-review

March 23, 2022 - April 16, 2018 The effect of computerised decision support alerts tailored to intensive care … August 18, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care … View More Related Resources Racial and ethnic harm in patient care … March 16, 2022 Eliminating explicit and implicit biases in health care: evidence and

Implicit bias in healthcare: clinical practice, research and decision making. | PSNet

psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making

May 25, 2022 - May 25, 2022 Eliminating explicit and implicit biases in health care: evidence and research … February 23, 2022 Omissions of care in nursing homes: a uniform definition for research … February 24, 2021 Preventable Hospitalizations: A Window Into Primary and Preventive Care … 8, 2020 Medical bias: from pain pills to COVID-19, racial discrimination in health care … on health care outcomes: a systematic review.

Drug name confusion: preventing medication errors. | PSNet

psnet.ahrq.gov/issue/drug-name-confusion-preventing-medication-errors

January 29, 2018 - Identifying barriers and enablers for a robust independent second check of medication in adult intensive care … Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care

2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine. | PSNet

psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine

July 18, 2018 - Implications of the failure to identify high-risk electrocardiogram findings for the quality of care … 2008 View More See More About The Topic Emergency Departments Health Care

Requires DHSS to make reported information about certain adverse events publicly available. | PSNet

psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available

January 31, 2018 - September 10, 2009 An Amendment of the Medical Care Availability and Reduction of Error … July 5, 2006 View More See More About The Topic Hospitals Health Care

Diagnostic error in mental health: a review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-mental-health-review

October 19, 2012 - in mental health disorders have not yet received the same attention as diagnostic errors in other care … Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care … October 19, 2012 Types and origins of diagnostic errors in primary care settings. … 10, 2021 Electronic health record-based surveillance of diagnostic errors in primary care … June 23, 2021 Signs and symptoms to determine if a patient presenting in primary care

Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet

psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations

April 08, 2011 - September 12, 2018 Intralipid medication errors in the neonatal intensive care unit. … January 5, 2017 A systematic review of teamwork in the intensive care unit: what do we … April 16, 2014 Building collaborative teams in neonatal intensive care. … Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care … August 9, 2006 View More See More About The Topic Intensive Care Units

Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. | PSNet

psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-prescribing-american-society-parenteral-and

February 17, 2015 - The model is designed to help organizations apply the suggestions in their particular care environments … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care … January 23, 2017 Sleep deprivation and starvation in hospitalised patients: how medical care … September 29, 2010 View More See More About The Topic Hospitals Health Care

A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience

April 05, 2013 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … Annual Perspective Communication During Transitions of Care … the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care … August 9, 2006 View More See More About The Topic Hospitals Ambulatory Care

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet

psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses

July 22, 2010 - September 22, 2010 Seroprevalence of SARS-CoV-2 among frontline health care personnel … Influence of opioid prescription policy on overdoses and related adverse effects in a primary care … May 19, 2021 Society of Critical Care Medicine Guidelines on Recognizing and Responding … July 1, 2016 An integrative review: fatigue among nurses in acute care settings. … Executives and Administrators Nurse Care Fatigue and Sleep Deprivation Epidemiology of Errors

21st Century Health Information Act of 2005. | PSNet

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March 27, 2005 - February 12, 2020 Veterans' Access to Care through Choice, Accountability, and Transparency

Patient Safety Handbook, Second Edition. | PSNet

psnet.ahrq.gov/issue/patient-safety-handbook-second-edition

March 27, 2005 - August 15, 2007 View More See More About The Topic Health Care Providers

A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet

psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its

March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … March 4, 2015 Medicines reconciliation using a shared electronic health care record. … May 11, 2014 Augmenting health care failure modes and effects analysis with simulation

Amended Lab Results: Communication Slip | PSNet

psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip

September 26, 2012 - However, approximately 30% of amended laboratory values do lead to a change in patient care ( 3,4 ), … Take-Home Points Amended laboratory results can result in patient care errors because clinicians … Problems in laboratory testing in primary care. JAMA. 1996;275:635-639. [go to PubMed] 3. … October 7, 2011 WebM&M Cases A Seasonal Care Transition … Providers Health Care Executives and Administrators Gynecology Obstetrics View More

There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. | PSNet

psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment

December 19, 2014 - A Workbook for Health Care Leaders. … October 24, 2018 WebM&M Cases A Seasonal Care Transition

Near Miss With Neonate | PSNet

psnet.ahrq.gov/web-mm/near-miss-neonate

August 15, 2018 - urine culture positive for group B streptococcus (GBS) could have triggered a cascade of inadequate care … knowledge gaps among providers led to inconsistencies in CDC guideline implementation and clinical care … from outside clinics or health care systems to the location where intrapartum care occurs. … team affect the safety of patient care. … Ensure optimal communication between all members of a patient's care team.

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic

May 23, 2018 - January 15, 2025 Nurses' perceptions and demands regarding COVID-19 care delivery in … critical care units and hospital emergency services. … Resources Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … February 19, 2020 Adverse events during dental care for children: implications for practitioner

ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative

October 18, 2017 - Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care … January 11, 2023 Eliminating explicit and implicit biases in health care: evidence and … Scoping review of patients' attitudes about their role and behaviours to ensure safe care … at the direct care level.

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet

psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life

April 24, 2018 - December 19, 2018 Multistate point-prevalence survey of health care-associated infections … March 21, 2012 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … August 17, 2022 Why accountability sharing in health care organizational cultures means … Ambulatory Clinic or Office Medicine Nurse Care View More

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature

July 21, 2011 - July 21, 2011 Hacking teamwork in health care: addressing adverse effects of ad hoc team … composition in critical care medicine. … Awareness of racial and ethnic bias and potential solutions to address bias with use of health care … Scoping review of patients' attitudes about their role and behaviours to ensure safe care … at the direct care level.

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