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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865718/psn-pdfMay 01, 2024 - Calculating the cost of medication errors: a systematic review of approaches and cost variables. May 1, 2024 Ranasinghe S, Nadeshkumar A, Senadheera S, et al. Calculating the cost of medication errors: a systematic review of approaches and cost variables. BMJ Open Qual. 2024;13(2):e002570. doi:10.1136/bmjoq-2023-0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866967/psn-pdfOctober 16, 2024 - Placing patient safety at the heart of value-based healthcare. October 16, 2024 La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. https://psnet.ahrq.gov/issue/placing-patient-safety-heart-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46328/psn-pdfAugust 09, 2017 - Critical incident stress debriefing after adverse patient safety events. August 9, 2017 Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46058/psn-pdfOctober 23, 2018 - Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. October 23, 2018 Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8). doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46324/psn-pdfAugust 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845635/psn-pdfMarch 08, 2023 - Fatigue in nurses and medication administration errors: a scoping review. March 8, 2023 Bell T, Sprajcer M, Flenady T, et al. Fatigue in nurses and medication administration errors: a scoping review. J Clin Nurs. 2023;32(17-18):5445-5460. doi:10.1111/jocn.16620. https://psnet.ahrq.gov/issue/fatigue-nurses-and-medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47274/psn-pdfNovember 21, 2018 - Developing a hospital-wide quality and safety dashboard: a qualitative research study. November 21, 2018 Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018- 007784. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42170/psn-pdfMay 10, 2013 - Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. May 10, 2013 Burnett E, Kearney N, Johnston B, et al. Understanding factors that impact on health care profess… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41678/psn-pdfJune 03, 2013 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). June 3, 2013 Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40736/psn-pdfJanuary 04, 2012 - Preventing wrong site, procedure, and patient events using a common cause analysis. January 4, 2012 Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/1062860611412066. https://psnet.ahrq.gov/issue/p… -
www.ahrq.gov/practiceimprovement/delivery-initiative/arragranteepubs.htmlDecember 01, 2017 - Delivery System Research Initiative Presentations and Publications by Recipients of ARRA Delivery System Grants (HHSA290200710069T) Bundled Episode Payment and Gainsharing Demonstration Project (Principal Investigator: Tom Williams) Comparative Effectiveness of Comprehensive Care for Adults with SMI (P…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50402/psn-pdfOctober 02, 2019 - Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness October 2, 2019 Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness. Mayo Clin Proc Innov Qual Out… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42834/psn-pdfJanuary 07, 2015 - Personal health records: a randomized trial of effects on elder medication safety. January 7, 2015 Chrischilles EA, Hourcade JP, Doucette W, et al. Personal health records: a randomized trial of effects on elder medication safety. J Am Med Inform Assoc. 2014;21(4):679-86. doi:10.1136/amiajnl-2013-002284. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46038/psn-pdfJuly 05, 2017 - Significant and sustained reduction in chemotherapy errors through improvement science. July 5, 2017 Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.2017.020842. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41020/psn-pdfJanuary 04, 2012 - A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? January 4, 2012 Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000297. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72763/psn-pdfFebruary 17, 2021 - Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings. February 17, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021. https://psnet.ahrq.gov/issue/apotex-corp-issues… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44395/psn-pdfAugust 12, 2015 - How well do health professionals interpret diagnostic information? A systematic review. August 12, 2015 Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjopen-2015-008155. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42905/psn-pdfJuly 30, 2014 - The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. July 30, 2014 Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10.1136/bmjqs-2013-002446. https://p… -
NICU Toolkit, Appendix A, Gastrostomy Tube (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_gtube.pdfJune 02, 2025 - NICU Toolkit, Appendix A, Gastrostomy Tube Gastrostomy Tube (G Tube or Button) Giving medicines and feeding if your baby has a gastrostomy tube: ■ Clear the G tube or button as your health care provider showed you. ■ Check for placement of the G tube or button. ■ Slowly push in liquid medicine or feeding with… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46109/psn-pdfSeptember 06, 2017 - Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. September 6, 2017 Marshall M, Cruickshank L, Shand J, et al. Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, fac…
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