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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48109/psn-pdfJanuary 01, 2020 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. July 24, 2019 Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation of a State-Wide Pediatric Drug Dos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45490/psn-pdfSeptember 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44228/psn-pdfSeptember 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46162/psn-pdfJuly 26, 2017 - The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas. July 26, 2017 Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Health Econ. 2017;3(2). doi:10.1162/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852794/psn-pdfAugust 23, 2023 - The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic. August 23, 2023 Melnyk BM, Hsieh AP, Tan A, et al. The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861765/psn-pdfJanuary 31, 2024 - Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. January 31, 2024 Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43993/psn-pdfNovember 29, 2017 - An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. November 29, 2017 McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: Implications for Collaboration… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73637/psn-pdfAugust 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35139/psn-pdfFebruary 24, 2011 - Sins of omission. Getting too little medical care may be the greatest threat to patient safety. February 24, 2011 Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91. https://psnet.ahrq.gov/issue/s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35134/psn-pdfJune 22, 2009 - Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. June 22, 2009 Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster- randomised controlled trial. Lancet. 2005;365(9477):2091-7. https://psnet.ahrq.gov/issue/introducti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862601/psn-pdfFebruary 14, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care. February 14, 2024 Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860385/psn-pdfJanuary 10, 2024 - Factors affecting medical residents' decisions to work after call. January 10, 2024 Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175. https://psnet.ahrq.gov/issue/factors-affecting-medical-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44643/psn-pdfJuly 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42945/psn-pdfFebruary 19, 2014 - Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. February 19, 2014 Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharma… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38042/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;43(8):618-620. doi:10.1310/hpj4308- 618. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-28 This monthly selection of medication error reports addresses examples of unclear dose… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39720/psn-pdfJuly 28, 2010 - Do not put medication safety "on hold" with boarded patients. July 28, 2010 Paparella S. Do not put medication safety "on hold" with boarded patients. J Emerg Nurs. 2010;36(4):347- 9. doi:10.1016/j.jen.2010.03.008. https://psnet.ahrq.gov/issue/do-not-put-medication-safety-hold-boarded-patients This commentary dis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34913/psn-pdfFebruary 25, 2009 - Medication errors in anaesthesia and critical care. February 25, 2009 Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257- 73. https://psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care This article reviews a variety of factors that contribute t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36253/psn-pdfNovember 28, 2018 - Medication Reconciliation Handbook, 2nd edition. November 28, 2018 American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090. https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42463/psn-pdfJuly 31, 2013 - Safety Problems With Your Child's Medical Device? July 31, 2013 Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013. https://psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device This information sheet covers how misuse of medical devices in children may contribute to adver… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41921/psn-pdfDecember 19, 2012 - Implementing AORN recommended practices for medication safety. December 19, 2012 Hicks RW, Wanzer LJ, Denholm B. Implementing AORN recommended practices for medication safety. AORN J. 2012;96(6):605-22. doi:10.1016/j.aorn.2012.09.012. https://psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-medication-…
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