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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34671/psn-pdfJune 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60713/psn-pdfJuly 22, 2020 - Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. July 22, 2020 Powell L, Sittig DF, Chrouser K, et al. Assessment of health information technology-related outpatient diagnosti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60618/psn-pdfJune 24, 2020 - Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. June 24, 2020 Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication errors: a … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45148/psn-pdfApril 24, 2018 - Safety of overlapping surgery at a high-volume referral center. April 24, 2018 Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856586/psn-pdfNovember 29, 2023 - The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. November 29, 2023 Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals’ view… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36222/psn-pdfMarch 10, 2011 - Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial. March 10, 2011 McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controll… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44331/psn-pdfSeptember 09, 2015 - Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? September 9, 2015 Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse even… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854375/psn-pdfOctober 11, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. October 11, 2023 Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861761/psn-pdfJanuary 31, 2024 - Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. January 31, 2024 Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. 2024;7(1):e2351535. doi:10.1001… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73513/psn-pdfJuly 21, 2021 - Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. July 21, 2021 Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851886/psn-pdfAugust 02, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. August 2, 2023 Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866692/psn-pdfSeptember 11, 2024 - Relationships between medications used in a mental health hospital and types of medication errors: a cross- sectional study over an 8-year period. September 11, 2024 Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sect… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836756/psn-pdfMarch 16, 2022 - Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. March 16, 2022 Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1):e2142382. doi:10.1001/jamanetwor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37040/psn-pdfApril 11, 2011 - The host hospital 24-hour underreferral rate: an automated measure of call-center safety. April 11, 2011 Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Pediatrics. 2007;119(6):1139-1144. https://psnet.ahrq.gov/issue/host-hospital-24-ho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837061/psn-pdfMay 11, 2022 - Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. May 11, 2022 Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35032/psn-pdfFebruary 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842421/psn-pdfJanuary 11, 2023 - Weight and size descriptors for drug dosing: too many options and too many errors. January 11, 2023 Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60524/psn-pdfMay 27, 2020 - Varying rates of patient identity verification when using computerized provider order entry. May 27, 2020 Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928. doi:10.1093/jamia/ocaa047. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867017/psn-pdfOctober 23, 2024 - Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. October 23, 2024 Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855084/psn-pdfNovember 08, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. November 8, 2023 Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high- performance triggers for identifying patient safety incidents with harm in …
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