-
psnet.ahrq.gov/node/40710/psn-pdf
August 24, 2011 - Challenges in posthospital care: nurses as coaches for
medication management.
August 24, 2011
Costa LL, Poe SS, Lee MC. Challenges in posthospital care: nurses as coaches for medication
management. J Nurs Care Qual. 2011;26(3):243-51. doi:10.1097/NCQ.0b013e31820e1543.
https://psnet.ahrq.gov/issue/challenges-postho…
-
psnet.ahrq.gov/node/45951/psn-pdf
October 31, 2017 - A systematic review of team training in health care: ten
questions.
October 31, 2017
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten
Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
https://psnet.ahrq.gov/issue/systematic-rev…
-
psnet.ahrq.gov/node/35175/psn-pdf
June 23, 2009 - Overnight and postcall errors in medication orders.
June 23, 2009
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med.
2005;12(7):629-34.
https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
This study examined the incidence of prescribing errors…
-
psnet.ahrq.gov/node/36671/psn-pdf
January 18, 2011 - Increasing vigilance on the medical/surgical floor to
improve patient safety.
January 18, 2011
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J
Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
https://psnet.ahrq.gov/issue/increasing-vigilance-m…
-
psnet.ahrq.gov/node/40570/psn-pdf
June 25, 2012 - Effect of computerized physician order entry on
radiologic examination order indication quality.
June 25, 2012
Schneider E, Franz W, Spitznagel R, et al. Effect of computerized physician order entry on radiologic
examination order indication quality. Arch Intern Med. 2011;171(11):1036-8.
doi:10.1001/archinternmed.…
-
psnet.ahrq.gov/node/42012/psn-pdf
February 06, 2013 - Quality of outpatient clinical notes: a stakeholder
definition derived through qualitative research.
February 6, 2013
Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition
derived through qualitative research. BMC Health Serv Res. 2012;12:407. doi:10.1186/1472-696…
-
psnet.ahrq.gov/node/39498/psn-pdf
February 10, 2015 - The effect of health information technology on quality in
U.S. hospitals.
February 10, 2015
McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S.
hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155.
https://psnet.ahrq.gov/issue/ef…
-
psnet.ahrq.gov/node/35339/psn-pdf
April 23, 2014 - Disclosing harmful medical errors to patients: a time for
professional action.
April 23, 2014
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16).
doi:10.1001/archinte.165.16.1819.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
-
psnet.ahrq.gov/node/37512/psn-pdf
February 06, 2008 - Risk factors in preventable adverse drug events in
pediatric outpatients.
February 6, 2008
Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric
outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054.
https://psnet.ahrq.gov/issue/risk-factors-…
-
psnet.ahrq.gov/node/43700/psn-pdf
November 19, 2014 - Appropriate use of medical interpreters.
November 19, 2014
Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80.
https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters
Language barriers between patients and providers can contribute to misunderstandings and lead…
-
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/41615/psn-pdf
July 02, 2014 - Implementing a nurse-shadowing program for first-year
medical students to improve interprofessional
collaborations on health care teams.
July 2, 2014
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to
improve interprofessional collaborations on health care teams…
-
psnet.ahrq.gov/node/36884/psn-pdf
May 27, 2011 - Evaluation of outpatient computerized physician
medication order entry systems: a systematic review.
May 27, 2011
Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order
entry systems: a systematic review. J Am Med Inform Assoc. 2007;14(4):400-6.
https://psnet.ahrq.gov…
-
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/40581/psn-pdf
November 02, 2011 - Retractions in the medical literature: how many patients
are put at risk by flawed research?
November 2, 2011
Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med
Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133.
https://psnet.ahrq.gov/issue/retractions…
-
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…