-
psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Staff and patient education (if provided by health professionals and structured rather than ad hoc).
-
psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - The MFM team provided written recommendations and rounded on the patient daily.
-
psnet.ahrq.gov/issue/primary-care-providers-opening-time-sensitive-alerts-sent-commercial-electronic-health-record
March 17, 2021 - Study
Primary care providers' opening of time-sensitive alerts sent to commercial electronic health record InBaskets.
Citation Text:
Cutrona SL, Fouayzi H, Burns L, et al. Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets. J Ge…
-
psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - the supervising pediatric nurse, in the setting of a teaching hospital where frontline care is often provided
-
psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - using a deidentified dataset derived from the
Hospital Survey on Patient Safety Culture™ (SOPS®)5 provided
-
psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - its records and found that in the past 2 years, 3 other patients had filed complaints about the care provided
-
psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - factors such as the availability of personal protective equipment (PPE) and
inadequate testing protocols provided
-
psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - These safety checks help ensure that the correct care is provided to the correct patient.
-
psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - The nurse on call was notified and a relief staff was provided, and the resident was then taken to the
-
psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - verification may not be required by institutional policy. 10 Adhering to the Universal Protocol would have provided
-
psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - teach-back method, an evidence-
based health literacy intervention, to ensure information has been provided
-
psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - the 911 call, the 911 center personnel must triage the call to ensure that, based on the information provided … identified in the field, EMS personnel must accurately assess whether there is immediate care that should be provided
-
psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
-
psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
July 02, 2019 - Review
A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.
Citation Text:
Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
-
psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
November 16, 2022 - Study
Hospital at night: an organizational design that provides safer care at night.
Citation Text:
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
…
-
psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
February 12, 2020 - Commentary
An infrastructure to provide safer, higher quality, and more equitable telehealth.
Citation Text:
Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
-
psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Book/Report
Approaches and Challenges to Electronically Matching Patients' Records Across Providers.
Citation Text:
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…
-
psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer?
Citation Text:
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
-
psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - for staff to question prescriber orders if they have any concerns, particularly when the orders are provided
-
psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Review
Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review.
Citation Text:
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how the…