-
psnet.ahrq.gov/node/47683/psn-pdf
April 10, 2019 - Design of hospital errors and omissions activities that
include patient-specific medication related problems.
April 10, 2019
Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific
medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp…
-
psnet.ahrq.gov/node/42191/psn-pdf
June 25, 2013 - Chemotherapy medication errors in a pediatric cancer
treatment center: prospective characterization of error
types and frequency and development of a quality
improvement initiative to lower the error rate.
June 25, 2013
Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…
-
psnet.ahrq.gov/node/60798/psn-pdf
January 01, 2021 - How accurately do older adult emergency department
patients recall their medications?
August 12, 2020
Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department
patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem.14032.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/47503/psn-pdf
October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs.
October 24, 2018
Peeples L. Pharmacy Practice News. October 10, 2018.
https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
Structured handoffs can reduce communication problems that contribute to medical error. This magazine
article re…
-
psnet.ahrq.gov/node/845649/psn-pdf
March 08, 2023 - Medication rounds: a tool to promote medication safety
for children with medical complexity.
March 8, 2023
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with
medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003.
…
-
psnet.ahrq.gov/node/44791/psn-pdf
January 13, 2016 - FDA Drug Safety Communication: FDA cautions about
dosing errors when switching between different oral
formulations of antifungal Noxafil (posaconazole); label
changes approved.
January 13, 2016
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
-
psnet.ahrq.gov/node/44582/psn-pdf
January 23, 2017 - Chemotherapy regimen checks performed by pharmacists
contribute to safe administration of chemotherapy.
January 23, 2017
Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to
safe administration of chemotherapy. J Oncol Pract. 2017;23(1):18-25. doi:10.1177/10781552156…
-
psnet.ahrq.gov/node/72480/psn-pdf
January 01, 2021 - Operationalizing occupational fatigue in pharmacists: an
exploratory factor analysis.
November 18, 2020
Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an
exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287.
doi:10.1016/j.sapharm.2020.09.012.
http…
-
psnet.ahrq.gov/node/45844/psn-pdf
February 15, 2017 - Responsible e-prescribing needs e-discontinuation.
February 15, 2017
Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470.
doi:10.1001/jama.2016.19908.
https://psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
E-prescribing is a key strategy to impr…
-
psnet.ahrq.gov/node/849615/psn-pdf
May 31, 2023 - Clinical Investigation Booking Systems Failures: Written
Communications in Community Languages.
May 31, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-
community-languages
Gaps in patient…
-
psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? A prospective evaluation of a commercial
application.
March 10, 2011
Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A
prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
-
psnet.ahrq.gov/node/33925/psn-pdf
December 18, 2008 - Drug-related morbidity and mortality and the economic
impact of pharmaceutical care.
December 18, 2008
Johnson JA, Bootman JL. Drug-related morbidity and mortality and the economic impact of pharmaceutical
care. Am J Health Syst Pharm. 1997;54(5):554-8.
https://psnet.ahrq.gov/issue/drug-related-morbidity-and-morta…
-
psnet.ahrq.gov/node/865980/psn-pdf
May 29, 2024 - Patient Safety and Artificial Intelligence: Opportunities
and Challenges for Care Delivery.
May 29, 2024
Lucian Leape Institute. Boston: Institute for Healthcare Improvement; 2024.
https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care-
delivery
The use of g…
-
psnet.ahrq.gov/node/852448/psn-pdf
January 01, 2024 - A realist synthesis of interprofessional patient safety
activities and healthcare student attitudes towards patient
safety.
August 16, 2023
Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and
healthcare student attitudes towards patient safety. J Interp…
-
psnet.ahrq.gov/node/47432/psn-pdf
September 26, 2018 - Malnutrition in the hospital: the pharmacist’s role in
prevention and treatment.
September 26, 2018
Decerbo M. Pharmacy Practice News. September 13, 2018.
https://psnet.ahrq.gov/issue/malnutrition-hospital-pharmacists-role-prevention-and-treatment
Parenteral nutrition errors can result in patient malnutrition and …
-
psnet.ahrq.gov/node/38934/psn-pdf
June 28, 2011 - Medication errors: how reliable are the severity ratings
reported to the National Reporting and Learning System?
June 28, 2011
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national
reporting and learning system? Int J Qual Health Care. 2009;21(5):316-20. doi:10.…
-
psnet.ahrq.gov/node/844554/psn-pdf
February 15, 2023 - Medication mix-up: what happened at Vanderbilt and how
it impacts health care providers.
February 15, 2023
Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71
https://psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-
providers
High-profile medication errors like tha…
-
psnet.ahrq.gov/node/74697/psn-pdf
January 26, 2022 - The effect of medication reconciliation via a patient portal
on medication discrepancies: a randomized noninferiority
study.
January 26, 2022
Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a
patient portal on medication discrepancies: a randomized noninferiority stu…
-
psnet.ahrq.gov/node/34657/psn-pdf
June 14, 2011 - Multidisciplinary approaches to reducing error and risk in
a patient care setting.
June 14, 2011
Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care
setting. Crit Care Nurs Clin North Am. 2002;14(4):359-67, viii.
https://psnet.ahrq.gov/issue/multidisciplinary-ap…
-
psnet.ahrq.gov/node/45200/psn-pdf
May 09, 2017 - Safe implementation of standard concentration infusions
in paediatric intensive care.
May 9, 2017
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in
paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5). doi:10.1111/jphp.12580.
https://ps…