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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46814/psn-pdfJuly 25, 2018 - The scope of drug-related problems in the home care setting. July 25, 2018 Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. https://psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-se… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50404/psn-pdfJanuary 01, 2020 - Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths October 2, 2019 Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification of patient safety framework to identify … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45245/psn-pdfJune 27, 2018 - Medication Without Harm: WHO's Third Global Patient Safety Challenge. June 27, 2018 Geneva, Switzerland: World Health Association; 2017. https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge Adverse drug events are likely the most common source of preventable harm in both … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47988/psn-pdfJune 12, 2019 - Impact of the World Health Organization surgical safety checklist on patient safety. June 12, 2019 Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000000002674. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867093/psn-pdfNovember 06, 2024 - Identifying resilience: a system safety review of trauma and orthopaedic theatres. November 6, 2024 Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. https://psnet.ahrq.gov/issue/identifying-resilience-system… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36528/psn-pdfJanuary 20, 2010 - Creating high reliability in health care organizations. January 20, 2010 Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations High-reliabil… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43325/psn-pdfSeptember 27, 2016 - Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. September 27, 2016 Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.1111/jnu.12092. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838136/psn-pdfSeptember 21, 2022 - Exploration of a rapid response team model of care: a descriptive dual methods study. September 21, 2022 Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61096/psn-pdfNovember 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020 Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e50-e56. https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist- professional-liability Des… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46996/psn-pdfMay 23, 2018 - How to incorporate quality improvement and patient safety projects in your training. May 23, 2018 Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45029/psn-pdfApril 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016 Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47. doi:10.1097/ACO.0000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860732/psn-pdfApril 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47565/psn-pdfApril 27, 2019 - Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. April 27, 2019 Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentinel Events and Contributing Factors. Jt Comm J Qual Patient Saf. 2019;45(4):249… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47418/psn-pdfSeptember 19, 2018 - How communications issues between doctors and nurses can affect your health. September 19, 2018 Howley EK. US News & World Report. September 5, 2018. https://psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your- health Communication failures in health care routinely challenge … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851656/psn-pdfJuly 26, 2023 - Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. July 26, 2023 Peard LM, Teplitsky S, Annabathula A, et al. Can J Urol. 2023;30(2):11467-11472. https://psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis- national… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44681/psn-pdfApril 13, 2016 - Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. April 13, 2016 Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444-451. doi:10.1016/j.ajog.2015.10.0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43989/psn-pdfMarch 18, 2015 - Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. March 18, 2015 Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849127/psn-pdfMay 17, 2023 - Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial. May 17, 2023 Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846149/psn-pdfMarch 15, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program. March 15, 2023 Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016/j.rcsop.2022.100218. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48116/psn-pdfJuly 17, 2019 - Patient safety superheroes in training: using a comic book to teach patient safety to residents. July 17, 2019 Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934-938. doi:10.1136/bmjqs-2018-009094…
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