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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46922/psn-pdfJanuary 01, 2019 - Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. March 21, 2018 Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837504/psn-pdfJune 22, 2022 - Business Intelligence dashboards for patient safety and quality: a narrative literature review. June 22, 2022 Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3233/shti220113. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46686/psn-pdfJanuary 31, 2018 - Case not closed: prescription errors 12 years after computerized physician order entry implementation. January 31, 2018 Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;190:236-240.e2. doi:10.1016/j.jpe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45053/psn-pdfMay 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40784/psn-pdfSeptember 21, 2011 - Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011 Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication error rates than traditional commu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35312/psn-pdfJanuary 02, 2017 - Medication errors involving wrong administration technique. January 2, 2017 Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. https://psnet.ahrq.gov/issue/medication-errors-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38679/psn-pdfMarch 01, 2011 - Improving alarm performance in the medical intensive care unit using delays and clinical context. March 1, 2011 Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546-52. doi:10.1213/ane.0b013e31819bdfb… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46183/psn-pdfJuly 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. July 12, 2017 Boston, MA: CRICO Strategies; 2017. https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report Medication errors are a persistent challenge in health care that can occur a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50372/psn-pdfSeptember 25, 2019 - Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. September 25, 2019 Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44548/psn-pdfNovember 20, 2015 - Safety-II and resilience: the way ahead in patient safety in anaesthesiology. November 20, 2015 Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. https://psnet.ahrq.gov/issue/safety-ii-and-resilience… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46403/psn-pdfSeptember 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73964/psn-pdfOctober 13, 2021 - Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. October 13, 2021 Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. Int J Clin Pharm. 2021;43… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44943/psn-pdfApril 15, 2016 - Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. April 15, 2016 Berthe-Aucejo A, Girard D, Lorrot M, et al. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. Arch Dis Child. 2016;1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43001/psn-pdfMarch 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47979/psn-pdfMay 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73995/psn-pdfOctober 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74843/psn-pdfFebruary 16, 2022 - Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. February 16, 2022 Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47800/psn-pdfJune 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837865/psn-pdfAugust 17, 2022 - Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. August 17, 2022 Clark C. MedPage Today. August 4. https://psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard- avoidable Consistent policy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60286/psn-pdfApril 29, 2020 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. April 29, 2020 Brodwin E. STAT. April 14, 2020. https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew- complications Patients with cancer and other chronic disorder treatment …
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