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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34068/psn-pdf
    July 10, 2008 - Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. July 10, 2008 Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Arch Intern Med. 2003;163(17):2014-8. https://…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72670/psn-pdf
    January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44304/psn-pdf
    September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842430/psn-pdf
    September 05, 2018 - The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. September 5, 2018 Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hosp Pharm. 2018;53(6):408-414. doi:10…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45944/psn-pdf
    August 15, 2018 - Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. August 15, 2018 Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39315/psn-pdf
    March 21, 2017 - Risk managers, physicians, and disclosure of harmful medical errors. March 21, 2017 Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866405/psn-pdf
    July 31, 2024 - Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. July 31, 2024 Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in response to fa…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…

  9. Skills-Answer-Key (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/skills-answer-key.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 1—Skills Questions Answer Key The How-To’s of Hand Hygiene 1. How long should you rub your hands with soap when you are hand washing? a. At least 5 seconds b. At least 15 seconds c. At least 30 seconds d. At least 60 seconds 2. How long should you …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…

  11. Figure 1.2. Framework for a System Approach to Tracking and Increasing Screening for Population Health Improvement Regarding Colorectal Cancer (SATIS-PHI/CRC) (Text Description) | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenfigtxt1-2.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Figure 1.2. Framework for a System Approach to Tracking and Increasing Screening for Population Health Improvement Regarding Colorectal Cancer (SATIS-PHI/CRC) (Text Description) Previous Page Next Page Table of Contents Health Care S…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60200/psn-pdf
    April 08, 2020 - Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. April 8, 2020 Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. BMJ. 2020;368. doi:10.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47502/psn-pdf
    June 02, 2019 - Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. June 2, 2019 Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event. Anesthesiology. 2019;130(…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43349/psn-pdf
    July 16, 2014 - Multifaceted interventions improve adherence to the surgical checklist. July 16, 2014 Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. https://psnet.ahrq.gov/issue/multifaceted-interventions-imp…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41250/psn-pdf
    December 21, 2014 - Disclosure of "nonharmful" medical errors and other events: duty to disclose. December 21, 2014 Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005. https://psnet.ahrq.gov/issue/disclos…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46547/psn-pdf
    April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44904/psn-pdf
    June 01, 2016 - Does time pressure have a negative effect on diagnostic accuracy? June 1, 2016 ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. https://psnet.ahrq.gov/issue/does-time-pressure-have-negative-e…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39644/psn-pdf
    June 30, 2010 - The effect of work hours on adverse events and errors in health care. June 30, 2010 Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002. https://psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-healt…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46431/psn-pdf
    November 22, 2017 - Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. November 22, 2017 Washington, DC: United States Government Accountability Office; October 2017. Publication GAO-18-15. https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk- …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37534/psn-pdf
    February 13, 2008 - Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. February 13, 2008 DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J …
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