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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39753/psn-pdfSeptember 28, 2016 - Nursing care quality and adverse events in US hospitals. September 28, 2016 Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x. https://psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72792/psn-pdfMarch 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843055/psn-pdfJanuary 25, 2023 - Assessing experiences of racism among Black and White patients in the emergency department. January 25, 2023 Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):e12870. doi:10.1002/emp2.12870.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836954/psn-pdfApril 20, 2022 - Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. April 20, 2022 Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syring… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42542/psn-pdfMarch 17, 2014 - Surgical checklists: a systematic review of impacts and implementation. March 17, 2014 Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. https://psnet.ahrq.gov/issue/surgical-checklists-systematic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60048/psn-pdfMarch 18, 2020 - 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. March 18, 2020 Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862992/psn-pdfFebruary 21, 2024 - Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. February 21, 2024 Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38749/psn-pdfApril 08, 2011 - Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. April 8, 2011 Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60326/psn-pdfMay 13, 2020 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. May 13, 2020 Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74077/psn-pdfNovember 17, 2021 - Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. November 17, 2021 Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris). 2022;62(1):44-50. doi:10.111… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853616/psn-pdfSeptember 20, 2023 - Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. September 20, 2023 Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs Adm Q. 2023;47(4):E38-E53. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39512/psn-pdfJune 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47069/psn-pdfJune 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44556/psn-pdfDecember 23, 2016 - Preventing falls and fall-related injuries in health care facilities. December 23, 2016 Sentinel Event Alert. September 28, 2015;(55):1-5. https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities Falls in the hospital are common, particularly among elderly patients, and falls … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50443/psn-pdfOctober 09, 2019 - Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. October 9, 2019 Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Diversity in the United States: The… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865969/psn-pdfMay 29, 2024 - Impact of pharmacist-led interventions on medication- related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials. May 29, 2024 Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medication- related problems among patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47346/psn-pdfFebruary 22, 2019 - The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. February 22, 2019 Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospital Wards with and without Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42419/psn-pdfJuly 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72568/psn-pdfJanuary 01, 2021 - Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45701/psn-pdfDecember 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci…
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