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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43825/psn-pdfJanuary 28, 2015 - A systematic review of adult admissions to ICUs related to adverse drug events. January 28, 2015 Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. https://psnet.ahrq.gov/issue/systema… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42360/psn-pdfApril 16, 2018 - Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. April 16, 2018 Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49. https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and- strategies-preventio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43898/psn-pdfFebruary 11, 2015 - Special Section on Patient Safety and Quality in Healthcare. February 11, 2015 Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare Articles in this special issue explore patient safety from a sociotechnic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40577/psn-pdfJuly 06, 2011 - Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011 Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary preventio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46614/psn-pdfNovember 29, 2017 - Interventions to improve hand hygiene compliance in the ICU: a systematic review. November 29, 2017 Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. https://psnet.ahrq.gov/issue/interventions-improve-hand… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34927/psn-pdfJune 23, 2009 - Health Care Quality and Disparities: Lessons from the First National Reports. June 23, 2009 Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports Highlights from AHRQ's two inaugural reports, the 2003 National … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35619/psn-pdfJune 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41390/psn-pdfJanuary 31, 2013 - A systematic review of patient tracking systems for use in the pediatric emergency department. January 31, 2013 Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36335/psn-pdfFebruary 01, 2011 - Rapid response teams—walk, don't run. February 1, 2011 Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run Rapid response teams (RRTs) have been widely advocated as a means of aver… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35006/psn-pdfOctober 25, 2013 - HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. October 25, 2013 Health Grades, Inc; 2005. https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals- study The first version of this now annual report on the safety of hospitalized … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34990/psn-pdfJune 22, 2009 - Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. June 22, 2009 Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40820/psn-pdfOctober 05, 2011 - Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. October 5, 2011 van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7):389-94. doi:10.1002/jhm.917. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42658/psn-pdfMarch 17, 2014 - Systematic review of the application of the plan-do-study- act method to improve quality in healthcare. March 17, 2014 Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37805/psn-pdfFebruary 15, 2011 - Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. February 15, 2011 Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Patient Saf. 2008;4(2). doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44674/psn-pdfDecember 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45465/psn-pdfSeptember 07, 2016 - Improving patient safety culture in primary care: a systematic review. September 7, 2016 Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075. https://psnet.ahrq.gov/issue/improving-pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44624/psn-pdfMarch 02, 2016 - What methods are used to apply positive deviance within healthcare organisations? A systematic review. March 2, 2016 Baxter R, Taylor N, Kellar I, et al. What methods are used to apply positive deviance within healthcare organisations? A systematic review. BMJ Qual Saf. 2016;25(3):190-201. doi:10.1136/bmjqs-2015-00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46487/psn-pdfMay 16, 2018 - High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. May 16, 2018 van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN: 1974506371. https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37770/psn-pdfMarch 10, 2011 - Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. March 10, 2011 Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46825/psn-pdfJune 19, 2018 - Diagnostic performance dashboards: tracking diagnostic errors using big data. June 19, 2018 Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945. https://psnet.ahrq.gov/issue/diagnosti…
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