-
psnet.ahrq.gov/node/47404/psn-pdf
September 12, 2018 - The gap in electronic drug information resources: a
systematic review.
September 12, 2018
Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic
Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860.
https://psnet.ahrq.gov/issue/gap-electronic-drug-information-res…
-
psnet.ahrq.gov/node/45607/psn-pdf
July 14, 2019 - Duke Center for Healthcare Safety and Quality.
July 14, 2019
Duke University Health System.
https://psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
This website provides resources to help individuals, hospitals, outpatient practices, and others improve
quality and patient safety. The materials inclu…
-
psnet.ahrq.gov/node/73861/psn-pdf
September 22, 2021 - Bringing the clinical laboratory into the strategy to
advance diagnostic excellence.
September 22, 2021
Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance
diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Deployment of a second victim peer support program: a
replication study.
September 24, 2017
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication
study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
https://psnet.ahrq.gov/issue/deployment-second-…
-
psnet.ahrq.gov/node/72485/psn-pdf
November 18, 2020 - 4 skin conditions doctors often misdiagnose.
November 18, 2020
Oglethorpe A. Women's Health. November 4, 2020.
https://psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose
Skin condition diagnosis is a visual activity that is vulnerable to error. This article highlights how conditions
such as psor…
-
psnet.ahrq.gov/node/41172/psn-pdf
February 29, 2012 - Pilot implementation of a perioperative protocol to guide
operating room-to-intensive care unit patient handoffs.
February 29, 2012
Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to
guide operating room-to-intensive care unit patient handoffs. J Cardiothorac Vasc …
-
psnet.ahrq.gov/node/47925/psn-pdf
August 21, 2019 - Second victims and mindfulness: a systematic review.
August 21, 2019
S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk
Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176.
https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
The secon…
-
psnet.ahrq.gov/node/43875/psn-pdf
September 19, 2016 - Implementation of a "second victim" program in a
pediatric hospital.
September 19, 2016
Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital.
Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650.
https://psnet.ahrq.gov/issue/implementation-second-vic…
-
psnet.ahrq.gov/node/40992/psn-pdf
December 15, 2011 - Should patients get direct access to their laboratory test
results?: An answer with many questions.
December 15, 2011
Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with
many questions. JAMA. 2011;306(22):2502-2503. doi:10.1001/jama.2011.1797.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/46750/psn-pdf
January 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety
Study.
January 31, 2018
Clive, IA: Heartland Health Research Institute; January 7, 2018.
https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
Patient perspectives can provide insights regarding areas in need of improvement. This sur…
-
psnet.ahrq.gov/node/72630/psn-pdf
January 13, 2021 - The COVID-19 pandemic and dentistry: parts 1 and 2.
January 13, 2021
Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.
https://psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2
The COVID-19 pandemic suspended routine dental care. This two-part series discusses…
-
psnet.ahrq.gov/node/837209/psn-pdf
May 25, 2022 - Opioids and falls risk in older adults: a narrative review.
May 25, 2022
Virnes R-E, Tiihonen M, Karttunen N, et al. Opioids and falls risk in older adults: a narrative review. Drugs
Aging. 2022;39(3):199-207. doi:10.1007/s40266-022-00929-y.
https://psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative…
-
psnet.ahrq.gov/node/867395/psn-pdf
December 18, 2024 - AHRQ National Healthcare Safety Dashboard.
December 18, 2024
AHRQ National Healthcare Safety Dashboard. National Action Alliance for Patient and Workforce Safety.
https://psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
The AHRQ National Healthcare Safety Dashboard is one approach to tracking progress…
-
psnet.ahrq.gov/node/43753/psn-pdf
December 10, 2014 - Improving the quality and safety of patient care in cardiac
anesthesia.
December 10, 2014
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J
Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
https://psnet.ahrq.gov/issue/improving-qu…
-
psnet.ahrq.gov/node/865493/psn-pdf
April 03, 2024 - Implement strategies to prevent persistent medication
errors and hazards: 2024.
April 3, 2024
ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
Systemic failures can perpetuate unsafe care if a lack of p…
-
psnet.ahrq.gov/node/50594/psn-pdf
October 30, 2019 - Pharmacist linkage in care transitions: from academic
medical center to community.
October 30, 2019
Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic
medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011.
https://psne…
-
psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
-
psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …
-
psnet.ahrq.gov/node/44192/psn-pdf
November 10, 2015 - Hospital ratings: a guide for the perplexed.
November 10, 2015
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2.
doi:10.1001/jama.2015.5269.
https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
Concerns have been raised about the variability of measures used to rate safety a…
-
psnet.ahrq.gov/node/45163/psn-pdf
November 30, 2016 - The 2015 John M. Eisenberg Patient Safety and Quality
Awards.
November 30, 2016
Jt Comm J Qual Patient Saf. 2016;42(6):243-264.
https://psnet.ahrq.gov/issue/2015-john-m-eisenberg-patient-safety-and-quality-awards
The Eisenberg Award honors individuals and organizations who have made vital accomplishments in
impro…