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Spotlight Case July 2008 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.pptJune 01, 2013 - Spotlight Case July 2008 Spotlight Case Emergency Error 1 2 Source and Credits This presentation is based on the June 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London Editor, AHRQ WebM&M: Robe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33763/psn-pdfMarch 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? March 1, 2014 Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program Perspective In 1999, the Institute of Medicine (IOM) released the To … -
PowerPoint Presentation (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.pptJanuary 01, 2015 - PowerPoint Presentation Spotlight Monitoring Fetal Health 1 This presentation is based on the January 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Mark W. Scerbo, PhD, Department of Psychology, Old Dominion University, and Alfred Z. Abuham… -
psnet.ahrq.gov/perspective/safety-radiologyOctober 01, 2013 - In my mind anything that reduces inappropriate imaging is beneficial to the patient.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865341/psn-pdfMarch 27, 2024 - Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. March 27, 2024 Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. doi:10.1016/j.breast.2024.103699. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43673/psn-pdfNovember 19, 2014 - Work-arounds observed by fourth-year nursing students. November 19, 2014 Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students Accordi… -
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/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/45795/psn-pdfMay 24, 2017 - Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. May 24, 2017 Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;213(2):299-306. doi:10.1016/j.amjsu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836810/psn-pdfMarch 30, 2022 - Periodic resuscitation cart checks and nurse situational awareness: an observational study. March 30, 2022 Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45895/psn-pdfFebruary 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46375/psn-pdfNovember 29, 2017 - Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. November 29, 2017 Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038. doi:10.1136/bmjoq-2017-000038. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44928/psn-pdfApril 27, 2016 - Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. April 27, 2016 Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center: A 3-Year, Multiphase Study. Pha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865967/psn-pdfMay 29, 2024 - Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. May 29, 2024 Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Diagnosis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853059/psn-pdfAugust 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. August 30, 2023 Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866244/psn-pdfJuly 10, 2024 - Optimizing the use of dose error reduction software on intravenous infusion pumps. July 10, 2024 Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. https://psnet.ahrq.gov/issue/optimizi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38224/psn-pdfFebruary 18, 2011 - Hospital readmissions: physician awareness and communication practices. February 18, 2011 Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s11606-008-0848-x. https://psnet.ahrq.gov/issue/hospital-readmission… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46421/psn-pdfNovember 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44028/psn-pdfApril 01, 2015 - Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015 Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(… -
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…
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