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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851913/psn-pdfAugust 02, 2023 - Meta-analysis of medication administration errors in African hospitals. August 2, 2023 Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396. https://psnet.ahrq.gov/issue/meta-analysis-medication-administra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46482/psn-pdfOctober 11, 2017 - What can physicians do to help curb the opioid crisis? October 11, 2017 Bendix J. https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis The persistent problem of opioid-related harm calls for changes in pain management practices and system processes in all care settings. This magazine article… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46269/psn-pdfJanuary 30, 2018 - A randomized controlled trial on the effect of a double check on the detection of medication errors. January 30, 2018 Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):74-82.e1. doi:10.1016/j.annemer… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46038/psn-pdfJuly 05, 2017 - Significant and sustained reduction in chemotherapy errors through improvement science. July 5, 2017 Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.2017.020842. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47130/psn-pdfOctober 10, 2018 - Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. October 10, 2018 Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41959/psn-pdfJanuary 16, 2013 - Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. January 16, 2013 Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73889/psn-pdfSeptember 29, 2021 - Australian hospital leaders on the provision of safe care: implications for safety I and safety II. September 29, 2021 Leggat SG, Balding C, Bish M. Perspectives of Australian hospital leaders on the provision of safe care: implications for safety I and safety II. J Health Org Manag. 2021;35(5):550-560. doi:10.1108… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44489/psn-pdfNovember 10, 2015 - Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. November 10, 2015 Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50744/psn-pdfDecember 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35990/psn-pdfSeptember 17, 2010 - Misunderstanding of prescription drug warning labels among patients with low literacy. September 17, 2010 Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. https://psnet.ahrq.gov/issue/misundersta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45228/psn-pdfJune 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837146/psn-pdfMay 18, 2022 - Applying requisite imagination to safeguard electronic health record transitions. May 18, 2022 Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab291. https://psnet.ahrq.gov/issue/applyi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40022/psn-pdfJune 09, 2011 - Patient safety begins with proper planning: a quantitative method to improve hospital design. June 9, 2011 Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):462-5. doi:10.1136/qshc.2008.031013. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43849/psn-pdfJanuary 28, 2015 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. January 28, 2015 Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bmjqs-2014-003675. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47503/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855438/psn-pdfNovember 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45812/psn-pdfJune 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. June 22, 2017 Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. https://psnet.ahrq.gov/issue/primer-pdsa-execu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46289/psn-pdfJanuary 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45325/psn-pdfApril 08, 2018 - Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. April 8, 2018 Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health professionals to reduce diagnostic erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837340/psn-pdfJune 08, 2022 - Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion. June 8, 2022 Prudenzi A, D. Graham C, Flaxman PE, et al. Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and s…
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