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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50773/psn-pdfJanuary 08, 2020 - Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. January 8, 2020 Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74111/psn-pdfNovember 24, 2021 - Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta- meta-analysis. November 24, 2021 Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. J Am … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865817/psn-pdfMay 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. May 8, 2024 Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40469/psn-pdfMay 20, 2019 - Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. May 20, 2019 Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402. https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd- edition Error Reduction in H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45447/psn-pdfJanuary 01, 2018 - Targeted implementation of the Comprehensive Unit- Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. December 19, 2017 Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867440/psn-pdfJanuary 08, 2025 - How can specialist investigation agencies inform system- wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. January 8, 2025 Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867444/psn-pdfJanuary 08, 2025 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. January 8, 2025 Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications in a paediatric hospital… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867519/psn-pdfJanuary 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. January 15, 2025 Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. doi:10.1016/j.rcsop.2024.100531.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37562/psn-pdfJune 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72756/psn-pdfFebruary 17, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021 Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73350/psn-pdfJune 02, 2021 - Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021 Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836997/psn-pdfApril 27, 2022 - The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. April 27, 2022 Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838247/psn-pdfOctober 05, 2022 - Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. October 5, 2022 Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41700/psn-pdfDecember 31, 2014 - High-priority drug–drug interactions for use in electronic health records. December 31, 2014 Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612. https://psnet.ahrq.gov/issue/high… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48191/psn-pdfAugust 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a fever pitch? August 28, 2019 Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50736/psn-pdfDecember 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. December 11, 2019 Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47448/psn-pdfOctober 10, 2018 - Ten principles for more conservative, care-full diagnosis. October 10, 2018 Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468. https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865812/psn-pdfMay 08, 2024 - The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. May 8, 2024 Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60556/psn-pdfJune 03, 2020 - The impact of technology on prescribing errors in pediatric intensive care: a before and after study. June 3, 2020 Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854258/psn-pdfOctober 04, 2023 - A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. October 4, 2023 Phillips KK, Mecca MC, Baim?Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings…
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