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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40278/psn-pdfMarch 09, 2011 - Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009. March 9, 2011 Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000-2009. J Healthc Manag. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42532/psn-pdfAugust 28, 2013 - Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. August 28, 2013 Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. BMJ Qua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37741/psn-pdfJanuary 10, 2017 - Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. January 10, 2017 Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections when using Luer-tip connectors: a statement… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60589/psn-pdfJune 23, 2020 - Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020. https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855093/psn-pdfNovember 08, 2023 - Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement. November 8, 2023 Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary but a critical component in its achievement. Medicine (Baltimore). 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46562/psn-pdfApril 16, 2018 - "To err is human" but disclosure must be taught: a simulation-based assessment study. April 16, 2018 Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation- Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.0000000000000273. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44787/psn-pdfJanuary 20, 2016 - Medication errors involving overrides of healthcare technology. January 20, 2016 Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology Users often bypass alerts meant to enhance safety of medication ordering and d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42790/psn-pdfDecember 04, 2013 - Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. December 4, 2013 Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patient Saf. 2013;9(4):224-31. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45738/psn-pdfJanuary 17, 2017 - Zero tolerance for deadly hospital-acquired infections. January 17, 2017 Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. https://psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections Hospital rating systems have yet to receive approval across the hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47872/psn-pdfMarch 27, 2019 - Overview of the Environmental Scan of Primary Care- Based Effort To Reduce Readmissions. March 27, 2019 Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF. https://psnet.ahrq.gov/issue/overview-environmental-scan-primar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43640/psn-pdfNovember 12, 2014 - Infection prevention in the emergency department. November 12, 2014 Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024. https://psnet.ahrq.gov/issue/infection-prevention-emergency-department Emergency c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37511/psn-pdfFebruary 06, 2008 - Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. February 6, 2008 Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identifying adverse events: comparison b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45506/psn-pdfNovember 30, 2016 - Is an indication-based prescribing system in our future? November 30, 2016 ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. https://psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future Health information technology has enhanced prescribers' ability to document the purpose o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74016/psn-pdfOctober 27, 2021 - Malnutrition in Hospitalized Adults: A Systematic Review. October 27, 2021 Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021. AHRQ Publication No. 21(22)-EHC035. https://psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review Patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43938/psn-pdfMarch 18, 2015 - Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. March 18, 2015 Butler M. J AHIMA. March 2015;86:18-23. https://psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues Although health information technology presents opportunities to improve patient safety, … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45409/psn-pdfMay 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Horsham, PA: Institute of Safe Medication Practices; 2021 https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings Long-term care patients often have concurrent conditions that increase their risk of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44140/psn-pdfJuly 15, 2015 - Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. July 15, 2015 London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015. https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour Open and honest discussion with patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847733/psn-pdfMarch 16, 2025 - ISMP Targeted Medication Safety Best Practices for Community Pharmacy. March 16, 2025 Institute for Safe Medication Practices: March 2025. https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy Community pharmacies are common providers of medication delivery that harbor proc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47241/psn-pdfOctober 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. October 10, 2018 McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34676/psn-pdfDecember 23, 2008 - Driving improvement in patient care: lessons from Toyota. December 23, 2008 Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota Representatives from University of Pit…
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