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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47969/psn-pdfJune 12, 2019 - Opioid medication discontinuation and risk of adverse opioid-related health care events. June 12, 2019 Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63. doi:10.1016/j.jsat.2019.05.001. https://psnet.ahrq.gov/issue/opioid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848816/psn-pdfMay 10, 2023 - Racial bias in cesarean decision-making. May 10, 2023 Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making Racial bias negatively impacts maternal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47359/psn-pdfOctober 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45729/psn-pdfSeptember 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44756/psn-pdfSeptember 12, 2016 - Importance of teamwork, communication and culture on failure-to-rescue in the elderly. September 12, 2016 Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031. https://psnet.ahrq.gov/issue/importance-teamw… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44393/psn-pdfAugust 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838310/psn-pdfOctober 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45130/psn-pdfJuly 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45767/psn-pdfApril 17, 2017 - Medication errors attributed to health information technology. April 17, 2017 Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology The unintended consequences associated with health information technologies for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838017/psn-pdfSeptember 07, 2022 - Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. September 7, 2022 Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Health Promot Pract. 2022;23(4):555-5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856592/psn-pdfJanuary 01, 2024 - Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. November 29, 2023 McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken communication of patients’… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850173/psn-pdfJune 07, 2023 - A national safety board made transportation safer and could do the same for health care, advocates say. June 7, 2023 Jaklevic MC. CNN. May 30, 2023. https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health- care-advocates-say Patient safety has long drawn from aviation… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45726/psn-pdfDecember 14, 2016 - National Cancer Institute–American Society of Clinical Oncology Teams in Cancer Care Project. December 14, 2016 J Oncol Pract. 2016;12(11):955-1194. https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer- care-project Team-based care has been adopted in various spec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72644/psn-pdfFebruary 01, 2021 - Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020. https://psnet.ahrq.gov/issue/best-practices-developing-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43702/psn-pdfMay 07, 2018 - Strengthen your resolve: no unlabeled containers anywhere, ever! May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4. https://psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever Despite the designation of proper labeling as a National Patient Safety … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45123/psn-pdfMay 07, 2018 - Hardwiring safety into the computer system: one hospital's actions to provide technology support for U- 500 insulin. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. https://psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology- support-u-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867759/psn-pdfMarch 12, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. March 12, 2025 Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46453/psn-pdfOctober 04, 2017 - Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. October 4, 2017 Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Cancer Care Delivery. Jt Comm J Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73135/psn-pdfApril 14, 2021 - Debrief it all: a tool for inclusion of Safety-II. April 14, 2021 Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii Debriefing is a c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838237/psn-pdfOctober 05, 2022 - Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. October 5, 2022 Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)…
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