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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45296/psn-pdfSeptember 21, 2016 - Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. September 21, 2016 Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73. doi:10.214… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837705/psn-pdfJuly 20, 2022 - Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. July 20, 2022 Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45452/psn-pdfAugust 24, 2016 - What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3. https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46446/psn-pdfSeptember 27, 2017 - Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017 Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46559/psn-pdfDecember 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44207/psn-pdfAugust 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned. August 21, 2018 Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf. 2018;14(3):164-173. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37903/psn-pdfMay 09, 2013 - Safe Surgery. May 9, 2013 World Health Organization. https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge This initiative provides a surgical safety checklist and related educational and training materials building on the Second Global Patient Safety Challenge vision to enco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837743/psn-pdfJuly 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61067/psn-pdfJanuary 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45192/psn-pdfDecember 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47001/psn-pdfAugust 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73616/psn-pdfAugust 18, 2021 - Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021 Gangopadhyaya A. Washington DC; Urban Institute: July 2021. https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events- same-hospital Racial inequities h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46133/psn-pdfMay 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45699/psn-pdfDecember 21, 2016 - Towards a new paradigm in laboratory medicine: the five rights. December 21, 2016 Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights Error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60327/psn-pdfMay 13, 2020 - Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. May 13, 2020 Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse events management for lung cancer patients du… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837699/psn-pdfJuly 20, 2022 - Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. July 20, 2022 Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867388/psn-pdfDecember 18, 2024 - Secure messaging use and wrong-patient ordering errors among inpatient clinicians. December 18, 2024 Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38436/psn-pdfFebruary 25, 2009 - The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. February 25, 2009 Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking needle core prostate biopsies for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860722/psn-pdfJanuary 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46566/psn-pdfJune 25, 2018 - A systematic review of interventions to follow-up test results pending at discharge. June 25, 2018 Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9. https://psnet.…
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