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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43787/psn-pdfJune 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43627/psn-pdfNovember 12, 2014 - The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014 Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48012/psn-pdfJune 12, 2019 - American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. June 12, 2019 American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2019;67(4):674-694. doi:10.1111/jgs.15… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866559/psn-pdfAugust 21, 2024 - Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses. August 21, 2024 Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40254/psn-pdfSeptember 19, 2016 - Medical error: the second victim. September 19, 2016 Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. https://psnet.ahrq.gov/issue/medical-error-second-victim This editorial coined the term "second victim" to describe clinicians who commit error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47141/psn-pdfAugust 17, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. August 17, 2018 Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36738/psn-pdfAugust 02, 2011 - Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). August 2, 2011 Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine offices: a report f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37891/psn-pdfJune 09, 2011 - Classifying and predicting errors of inpatient medication reconciliation. June 9, 2011 Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. https://psnet.ahrq.gov/issue/classifying-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60194/psn-pdfApril 01, 2020 - Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. April 1, 2020 Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74179/psn-pdfJanuary 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866580/psn-pdfAugust 28, 2024 - The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. August 28, 2024 Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10?year review of enteral misconnection adverse events and narrative review. Nutr Clin Prac. 2024;39(5):1251-1258. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42519/psn-pdfDecember 06, 2013 - Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. December 6, 2013 Rock C, Harris AD, Reich NG, et al. Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time?--… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34065/psn-pdfFebruary 09, 2011 - Incidence and preventability of adverse drug events among older persons in the ambulatory setting. February 9, 2011 Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. JAMA. 2003;289(9):1107-1116. doi:10.1001/jama.289.9.1107. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44746/psn-pdfJanuary 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36549/psn-pdfMarch 21, 2017 - Patients' concerns about medical errors during hospitalization. March 21, 2017 Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44203/psn-pdfAugust 04, 2015 - Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. August 4, 2015 Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual Residents.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37292/psn-pdfMay 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843056/psn-pdfJanuary 25, 2023 - Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta- analysis. January 25, 2023 Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. BMJ Qual Saf. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43716/psn-pdfNovember 17, 2015 - Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. November 17, 2015 Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47813/psn-pdfMarch 06, 2019 - Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. March 6, 2019 Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst Pharm. 2019;76(5):264-265. doi:10.1093/a…
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