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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72783/psn-pdfFebruary 24, 2021 - Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions. February 24, 2021 Vsevolozhskaya OA, Manz KC, Zephyr PM, et al. Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HAC… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74725/psn-pdfFebruary 02, 2022 - A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of hospital, including before and after implemen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865585/psn-pdfApril 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61021/psn-pdfOctober 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video inter… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42832/psn-pdfSeptember 01, 2016 - Overrides of medication-related clinical decision support alerts in outpatients. September 1, 2016 Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36997/psn-pdfJune 29, 2011 - Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. June 29, 2011 Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9. https://psnet.ahrq.gov/issue/dispen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854828/psn-pdfOctober 25, 2023 - Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. October 25, 2023 Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74203/psn-pdfDecember 22, 2021 - Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. December 22, 2021 Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving the implementation and adherence… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42796/psn-pdfDecember 13, 2013 - Telemedicine consultations and medication errors in rural emergency departments. December 13, 2013 Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374. https://psnet.ahrq.gov/issue/tel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74854/psn-pdfFebruary 23, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. February 23, 2022 Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: An integrative rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60580/psn-pdfJanuary 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35906/psn-pdfMay 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 27, 2011 Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73181/psn-pdfApril 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. April 28, 2021 Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare improvement. Dimens Crit Care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43975/psn-pdfJuly 18, 2016 - Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. July 18, 2016 Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36345/psn-pdfNovember 15, 2011 - Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. November 15, 2011 Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. P… -
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/866745/psn-pdfSeptember 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840147/psn-pdfNovember 16, 2022 - Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. November 16, 2022 Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. JMIR Hum Factors. 2022;9(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47198/psn-pdfAugust 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72706/psn-pdfFebruary 03, 2021 - Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. February 3, 2021 Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Int J Environ Res Public Health. 2020;17(22):8409.…
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