-
psnet.ahrq.gov/node/866311/psn-pdf
January 01, 2025 - Systematic review of types of safety incidents and the
processes and systems used for safety incident reporting
in care homes.
July 17, 2024
Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and
systems used for safety incident reporting in care homes. J Adv Nurs. …
-
psnet.ahrq.gov/node/47020/psn-pdf
January 16, 2019 - Unintended harm associated with the Hospital
Readmissions Reduction Program.
January 16, 2019
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA.
2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss…
-
psnet.ahrq.gov/node/45539/psn-pdf
November 18, 2016 - Overuse of medical imaging and its radiation
exposure: who’s minding our children?
November 18, 2016
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our
Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147.
https://psnet.ahrq.gov/issue/o…
-
psnet.ahrq.gov/node/47160/psn-pdf
August 08, 2018 - Preventing dispensing errors by alerting for drug
confusions in the pharmacy information system—a
survey of users.
August 8, 2018
Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in
the pharmacy information system-A survey of users. PLoS One. 2018;13(5):e0197469…
-
psnet.ahrq.gov/node/855095/psn-pdf
November 08, 2023 - Identifying barriers and enablers for a robust independent
second check of medication in adult intensive care.
November 8, 2023
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of
medication in adult intensive care. Br J Nurs. 2023;32(17):840-848. doi:10.12968/bjo…
-
psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
-
psnet.ahrq.gov/node/60018/psn-pdf
March 04, 2020 - 2019 update on pediatric medical overuse: a systematic
review.
March 4, 2020
Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr.
2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849.
https://psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-r…
-
psnet.ahrq.gov/node/44051/psn-pdf
August 02, 2015 - Sustainability and long-term effectiveness of the WHO
surgical safety checklist combined with pulse oximetry in
a resource-limited setting: two-year update from Moldova.
August 2, 2015
Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical safety
checklist combined with pu…
-
psnet.ahrq.gov/node/73667/psn-pdf
September 01, 2021 - Cardinal Health recalls Argyle UVC insertion tray due to
missing instructions for use for the Safety Scalpel N11.
September 1, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
https://psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-i…
-
psnet.ahrq.gov/node/73987/psn-pdf
October 20, 2021 - Impact of clinical decision support therapeutic
interchanges on hospital discharge medication omissions
and duplications.
October 20, 2021
Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on
hospital discharge medication omissions and duplications. Am J Health Sy…
-
psnet.ahrq.gov/node/41759/psn-pdf
October 10, 2012 - Optimal preoperative assessment of the geriatric surgical
patient: a best practices guideline from the American
College of Surgeons National Surgical Quality
Improvement Program and the American Geriatrics
Society.
October 10, 2012
Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…
-
psnet.ahrq.gov/node/45766/psn-pdf
February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based
Practices to Optimize Prescriber Use.
February 8, 2017
Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy
and Management at Brandeis University; 2016.
https://psnet.ahrq.gov/issue/prescription-drug-monit…
-
psnet.ahrq.gov/node/43693/psn-pdf
January 20, 2015 - Effectiveness of facilitated introduction of a standard
operating procedure into routine processes in the
operating theatre: a controlled interrupted time series.
January 20, 2015
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating
procedure into routine processe…
-
psnet.ahrq.gov/node/46456/psn-pdf
February 28, 2018 - Drug calculation ability of qualified paramedics: a pilot
study.
February 28, 2018
Boyle MJ, Eastwood K. Drug calculation ability of qualified paramedics: A pilot study. World J Emerg Med.
2018;9(1):41-45. doi:10.5847/wjem.j.1920-8642.2018.01.006.
https://psnet.ahrq.gov/issue/drug-calculation-ability-qualified-par…
-
psnet.ahrq.gov/node/47423/psn-pdf
January 27, 2019 - A health system–wide initiative to decrease opioid-related
morbidity and mortality.
January 27, 2019
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related
Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003.
https://psnet.…
-
psnet.ahrq.gov/node/47713/psn-pdf
June 14, 2019 - Medication appropriateness in vulnerable older adults:
healthy skepticism of appropriate polypharmacy.
June 14, 2019
Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of
Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798.
https://psne…
-
psnet.ahrq.gov/node/44869/psn-pdf
November 18, 2016 - Fake and expired medications in simulation-based
education: an underappreciated risk to patient safety.
November 18, 2016
Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an
underappreciated risk to patient safety. BMJ Qual Saf. 2016;25(12):917-920. doi:10.1136/bmjqs…
-
psnet.ahrq.gov/node/44657/psn-pdf
November 11, 2015 - Understanding and confronting our mistakes: the
epidemiology of error in radiology and strategies for error
reduction.
November 11, 2015
Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error
in radiology and strategies for error reduction. Radiographics. 2015;35(6):…
-
psnet.ahrq.gov/node/44067/psn-pdf
June 02, 2015 - Surgical team member assessment of the safety of
surgery practice in 38 South Carolina hospitals.
June 2, 2015
Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice
in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-323. doi:10.1177/1077558715577479.
h…
-
psnet.ahrq.gov/node/43958/psn-pdf
April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic
treatment: a prospective, comparative cohort study.
April 22, 2015
Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic
treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6.
doi:10.10…