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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40852/psn-pdf
    January 19, 2012 - Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. January 19, 2012 Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):13…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40171/psn-pdf
    May 30, 2011 - Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. May 30, 2011 Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166. https://ps…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37484/psn-pdf
    April 01, 2010 - Using patient safety indicators to estimate the impact of potential adverse events on outcomes. April 1, 2010 Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87. doi:10.1177/107755870730961…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43224/psn-pdf
    June 11, 2014 - Look alike/sound alike drugs: a literature review on causes and solutions. June 11, 2014 Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47524/psn-pdf
    June 19, 2019 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. June 19, 2019 Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45775/psn-pdf
    March 20, 2017 - A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. March 20, 2017 Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient- clinician safety and quality partnerships. BMJ Qual Saf. 2016;26(4):312-3…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47578/psn-pdf
    November 28, 2018 - Identifying electronic health record usability and safety challenges in pediatric settings. November 28, 2018 Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Health Aff (Millwood). 2018;37(11):1752-1759. doi:10.1377/hlthaff.2018.0699. …

  8. Medication Handling and Compounding Errors in the Operating Room. | PSNet

    psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
    May 16, 2022 - Medication Handling and Compounding Errors in the Operating Room. Citation Text: Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…

  9. Removing Insult from Injury—Disclosing Adverse Events | PSNet

    psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
    February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events Albert W. Wu, MD, MPH | February 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. Rock…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49580/psn-pdf
    March 21, 2009 - Medication Reconciliation Victory After an Avoidable Error March 21, 2009 Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error The Case A 91-year-old woman, previously active and indepen…

  11. Chemotherapy Administration Safety Standards | PSNet

    psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
    March 30, 2016 - Chemotherapy Administration Safety Standards Citation Text: Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865467/psn-pdf
    March 27, 2024 - I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences March 27, 2024 Steinberg K. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferenc…

  13. Hazards of Loading Doses | PSNet

    psnet.ahrq.gov/web-mm/hazards-loading-doses
    December 01, 2003 - Hazards of Loading Doses Citation Text: Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49560/psn-pdf
    April 01, 2008 - The Wrongful Resuscitation April 1, 2008 Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/wrongful-resuscitation The Case   An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and poor quality of life had previously been r…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49447/psn-pdf
    June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33628/psn-pdf
    February 01, 2006 - In Conversation with…John Banja, PhD February 1, 2006 In Conversation with…John Banja, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd Editor's Note: John Banja, PhD, is Assistant Director for Health Sciences and Clinical Ethics and Associate Professor of Clinical Et…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49704/psn-pdf
    March 01, 2014 - Late Anemia Following Rh Disease in a Newborn March 1, 2014 Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn The Case A full-term neonate was delivered uneventfully to an Rh-negative woman who had re…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45893/psn-pdf
    August 28, 2017 - Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. August 28, 2017 Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended safety threats associated with …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46747/psn-pdf
    June 06, 2018 - Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. June 6, 2018 Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patien…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42923/psn-pdf
    September 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…
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