-
psnet.ahrq.gov/node/837429/psn-pdf
January 01, 2022 - Improving allergy documentation: a retrospective
electronic health record system-wide patient safety
initiative.
January 1, 2022
Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record
system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114.
d…
-
psnet.ahrq.gov/node/47141/psn-pdf
August 17, 2018 - Association of postoperative readmissions with surgical
quality using a Delphi consensus process to identify
relevant diagnosis codes.
August 17, 2018
Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality
Using a Delphi Consensus Process to Identify Relevant Diagnosi…
-
psnet.ahrq.gov/node/40807/psn-pdf
September 01, 2016 - Prevalence of medication administration errors in two
medical units with automated prescription and
dispensing.
September 1, 2016
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication
administration errors in two medical units with automated prescription and dispensing. J Am M…
-
psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
-
psnet.ahrq.gov/node/36222/psn-pdf
March 10, 2011 - Impact of a computerized clinical decision support
system on reducing inappropriate antimicrobial use: a
randomized controlled trial.
March 10, 2011
McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on
reducing inappropriate antimicrobial use: a randomized controll…
-
psnet.ahrq.gov/node/50443/psn-pdf
October 09, 2019 - Medicare's Hospital-Acquired Condition Reduction
Program and community diversity in the United States:
the need to account for racial and ethnic segregation.
October 9, 2019
Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and
Community Diversity in the United States: The…
-
psnet.ahrq.gov/node/47346/psn-pdf
February 22, 2019 - The prevalence of dose errors among paediatric patients
in hospital wards with and without health information
technology: a systematic review and meta-analysis.
February 22, 2019
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in
Hospital Wards with and without Heal…
-
psnet.ahrq.gov/node/42832/psn-pdf
September 01, 2016 - Overrides of medication-related clinical decision support
alerts in outpatients.
September 1, 2016
Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in
outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/46134/psn-pdf
September 24, 2017 - Sources of unsafe primary care for older adults: a mixed-
methods analysis of patient safety incident reports.
September 24, 2017
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods
analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
-
psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - Medical device alarm safety in hospitals.
December 23, 2016
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3.
https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
The cacophony of alarms in hospitals has led many health care providers to become desensitized to them,
a con…
-
psnet.ahrq.gov/node/39917/psn-pdf
October 13, 2010 - Prevalence of adverse events in pediatric intensive care
units in the United States.
October 13, 2010
Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the
United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/PCC.0b013e3181d8e405.
https://psne…
-
psnet.ahrq.gov/node/60540/psn-pdf
November 01, 2016 - Quality improvement initiatives lead to reduction in
nulliparous term singleton vertex cesarean delivery rate.
November 1, 2016
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous
term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)…
-
psnet.ahrq.gov/node/856586/psn-pdf
November 29, 2023 - The complexities of communication at hospital discharge
of older patients: a qualitative study of healthcare
professionals' views.
November 29, 2023
Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older
patients: a qualitative study of healthcare professionals’ view…
-
psnet.ahrq.gov/node/860721/psn-pdf
January 17, 2024 - How safe are outpatient electronic health records? An
evaluation of medication-related decision support using
the Ambulatory Electronic Health Record Evaluation Tool.
January 17, 2024
Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation of
medication-related decision s…
-
psnet.ahrq.gov/node/41352/psn-pdf
May 09, 2012 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2011.
May 9, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9).
doi…
-
psnet.ahrq.gov/node/47127/psn-pdf
June 05, 2018 - Incorporating medication indications into the prescribing
process.
June 5, 2018
Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J
Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346.
https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
-
psnet.ahrq.gov/node/60838/psn-pdf
January 01, 2021 - Using the ecological systems theory to understand
black/white disparities in maternal morbidity and mortality
in the United States.
August 26, 2020
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in
maternal morbidity and mortality in the United States. J Rac…
-
psnet.ahrq.gov/node/73512/psn-pdf
July 21, 2021 - Secondary traumatic stress in ob-gyn: a mixed methods
analysis assessing physician impact and needs.
July 21, 2021
Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods
analysis assessing physician impact and needs. J Surg Educ. 2021;78(3):1024-1034.
doi:10.1016/j.jsurg…
-
psnet.ahrq.gov/node/60294/psn-pdf
May 06, 2020 - Medically-necessary, time-sensitive procedures: a
scoring system to ethically and efficiently manage
resource scarcity and provider risk during the COVID-19
pandemic.
May 6, 2020
Prachand VN, Milner R, Angelos P, et al. Medically-necessary, time-sensitive procedures: a scoring system
to ethically and efficiently …
-
psnet.ahrq.gov/node/60877/psn-pdf
September 02, 2020 - When bad things happen: training medical students to
anticipate the aftermath of medical errors.
September 2, 2020
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the
aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…