-
psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
Discharged with IV antibiotics:
When issues arise, who manages
the complications?
Source and Credits
• This presentation is based on the February 2020 AHRQ
WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Monica Donnel…
-
psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Medication Errors and Adverse Drug Events
December 15, 2024
Medication Errors and Adverse Drug Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect cu…
-
psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - Patient Engagement and Patient Safety
February 1, 2013
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
Perspective
Patient engagement has arrived at the station. A Google search of this phrase identified 335,000 hi…
-
psnet.ahrq.gov/issue/patient-safety-2
August 31, 2005 - Special or Theme Issue
Patient Safety.
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
October 4, 2006
View more articles from the same authors.
This special issue includes 1…
-
psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Sentinel Event Alerts
Preventing, and managing the impact of, anesthesia awareness.
Citation Text:
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
-
psnet.ahrq.gov/node/43161/psn-pdf
December 12, 2014 - Burnout in the NICU setting and its relation to safety
culture.
December 12, 2014
Profit J, Sharek PJ, Amspoker AB, et al. Burnout in the NICU setting and its relation to safety culture. BMJ
Qual Saf. 2014;23(10):806-813. doi:10.1136/bmjqs-2014-002831.
https://psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-rela…
-
psnet.ahrq.gov/node/41187/psn-pdf
October 16, 2012 - A pharmacist-led information technology intervention for
medication errors (PINCER): a multicentre, cluster
randomised, controlled trial and cost-effectiveness
analysis.
October 16, 2012
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led information technology intervention for medication
errors (PINCER): a …
-
psnet.ahrq.gov/node/45527/psn-pdf
January 23, 2017 - Do work condition interventions affect quality and errors
in primary care? Results from the Healthy Work Place
Study.
January 23, 2017
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary
Care? Results from the Healthy Work Place Study. J Gen Intern Med. 2017;32…
-
psnet.ahrq.gov/issue/isqua-networks
January 29, 2021 - Multi-use Website
ISQua Networks.
Citation Text:
ISQua Networks. International Society for Quality in Health Care.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
…
-
psnet.ahrq.gov/node/46893/psn-pdf
March 21, 2018 - Vital signs: trends in emergency department visits for
suspected opioid overdoses- United States, July 2016-
September 2017.
March 21, 2018
Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for
Suspected Opioid Overdoses - United States, July 2016-September 2017. MMWR M…
-
psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study of US
hospitals and ambulatory surgical centers.
May 9, 2018
Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study …
-
psnet.ahrq.gov/node/38761/psn-pdf
July 15, 2009 - Effect of bar-code–assisted medication administration on
medication administration errors and accuracy in multiple
patient care areas.
July 15, 2009
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication
administration errors and accuracy in multiple patient care are…
-
psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - What safety events are reported for ambulatory care?
Analysis of incident reports from a patient safety
organization.
October 21, 2020
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis
of incident reports from a patient safety organization. Jt Comm J Qual Patie…
-
psnet.ahrq.gov/node/47778/psn-pdf
March 06, 2019 - Teamwork- Part 1: Divided We Fall; Part 2: Cursed By
Knowledge: Building a Culture of Psychological Safety;
and Part 3: The Not-My-Problem Problem.
March 6, 2019
Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427.
https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-…
-
psnet.ahrq.gov/node/39463/psn-pdf
February 10, 2015 - Mixed results in the safety performance of computerized
physician order entry.
February 10, 2015
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician
order entry. Health Aff (Millwood). 2010;29(4):655-663. doi:10.1377/hlthaff.2010.0160.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/48084/psn-pdf
August 14, 2019 - Electronic health records, communication, and data
sharing: challenges and opportunities for improving the
diagnostic process.
August 14, 2019
Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing:
challenges and opportunities for improving the diagnostic process. Diagnosis…
-
psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
-
psnet.ahrq.gov/node/42654/psn-pdf
December 21, 2014 - Primary care closed claims experience of Massachusetts
malpractice insurers.
December 21, 2014
Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts
malpractice insurers. JAMA Intern Med. 2013;173(22):2063-8. doi:10.1001/jamainternmed.2013.11070.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
May 01, 2023 - Toolkit
Opioid deprescribing toolkit.
Citation Text:
Health Innovation East, National Health Service. Opioid deprescribing toolkit.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
…
-
psnet.ahrq.gov/node/48016/psn-pdf
January 01, 2020 - Reducing three infections across cardiac surgery
programs: a multisite cross-unit collaboration.
May 22, 2019
Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A
Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:10.1177/1062860619845494.
https://p…