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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60909/psn-pdfSeptember 16, 2020 - Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. September 16, 2020 Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855427/psn-pdfNovember 15, 2023 - Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self- investigations: a NBSIs frontline ownership intervention. November 15, 2023 Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, depar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73600/psn-pdfAugust 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021 Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised contr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44037/psn-pdfMarch 14, 2018 - Pediatric medication safety in the emergency department. March 14, 2018 Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. https://psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-departmen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73394/psn-pdfJune 16, 2021 - Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. June 16, 2021 Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865706/psn-pdfMay 01, 2024 - Stigmatizing language, patient demographics, and errors in the diagnostic process. May 1, 2024 Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60846/psn-pdfJanuary 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46190/psn-pdfAugust 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47729/psn-pdfApril 10, 2019 - Reclaiming the systems approach to paediatric safety. April 10, 2019 Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety Children… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44799/psn-pdfJuly 11, 2017 - Unintended Consequences: New Problems and New Solutions. July 11, 2017 Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271. https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions Unexpected effects associated with implementation and use of health information technolo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846453/psn-pdfMarch 02, 2021 - The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? March 2, 2021 Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Value Health. 2021;24(3):388-396. doi:10.101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837338/psn-pdfJune 08, 2022 - Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on a systemic approach. June 8, 2022 Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A qualitative study of care practices based on a systemic approach. J Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838325/psn-pdfOctober 12, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022 Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232. https://psnet.ahrq.gov/issue/comprehensive-healthcare… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73688/psn-pdfSeptember 08, 2021 - Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. September 8, 2021 Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported potential adverse events after hospital discharge. Res Social Adm Pharm. 2021;17(8):142… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73280/psn-pdfMay 19, 2021 - Rates of serious surgical errors in California and plans to prevent recurrence. May 19, 2021 Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. https://psnet.ahrq.gov/issue/rates-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61096/psn-pdfNovember 04, 2020 - Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020 Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e50-e56. https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist- professional-liability Des… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47405/psn-pdfJanuary 27, 2019 - Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. January 27, 2019 Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatie… -
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/47764/psn-pdfFebruary 13, 2019 - Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. February 13, 2019 Horn SR, Liu TC, Horowitz JA, et al. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Spine (Phila Pa 1976). 2018;43(22):E1358-E1363. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43828/psn-pdfJanuary 14, 2015 - Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. January 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4. https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all- hospitals This newsletter article …
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