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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60190/psn-pdfApril 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. April 1, 2020 Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summary. Rockville, MD : Agency for Healthcar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46447/psn-pdfSeptember 27, 2017 - Creating highly reliable accountable care organizations. September 27, 2017 Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672. https://psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations High reliability is a goal throughout … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47581/psn-pdfJanuary 09, 2019 - Patient safety in inpatient psychiatry: a remaining frontier for health policy. January 9, 2019 Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.2018.0718. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45371/psn-pdfApril 24, 2017 - Patient safety and workplace bullying: an integrative review. April 24, 2017 Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209. https://psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46079/psn-pdfJune 28, 2017 - Death due to pharmacy compounding error reinforces need for safety focus. June 28, 2017 ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus Compounding pharmacies prepare medicines for patients that a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47394/psn-pdfJanuary 27, 2019 - Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. January 27, 2019 Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45339/psn-pdfAugust 10, 2016 - Hospital at night: an organizational design that provides safer care at night. August 10, 2016 Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17. https://psnet.ahrq.gov/issue/hospi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44222/psn-pdfDecember 04, 2016 - The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. December 4, 2016 Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication Errors and Unintentional Poisonings… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46965/psn-pdfMarch 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. March 28, 2018 Bartolone P. Kaiser Health News. March 16, 2018. https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45869/psn-pdfMarch 25, 2017 - Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. March 25, 2017 Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2):62-70. doi:10.1016/j.jcjq.2016.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41996/psn-pdfJuly 03, 2014 - Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. July 3, 2014 Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. JAMA … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47549/psn-pdfMarch 04, 2019 - Interventions against bullying of prelicensure students and nursing professionals: an integrative review. March 4, 2019 Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50938/psn-pdfFebruary 26, 2020 - Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. February 26, 2020 Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the impact of a chemotherapy comp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44657/psn-pdfNovember 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):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44801/psn-pdfJune 22, 2016 - Safety for all: integrated design for inpatient units. June 22, 2016 Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45823/psn-pdfMay 09, 2017 - The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. May 9, 2017 Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication- related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46473/psn-pdfDecember 18, 2017 - Diagnostic errors: impact of an educational intervention on pediatric primary care. December 18, 2017 Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50932/psn-pdfFebruary 26, 2020 - Clinician-directed performance improvement: moving beyond externally mandated metrics. February 26, 2020 Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. https://psnet.ahrq.gov/issue/clinician-direct… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43963/psn-pdfSeptember 09, 2015 - Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. September 9, 2015 Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing Error in Simulated Emergency … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47020/psn-pdfJanuary 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…
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