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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41437/psn-pdfJanuary 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45225/psn-pdfJune 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47769/psn-pdfMay 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and innovative strategies. May 11, 2019 Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. https://psnet.ahrq.gov/issue/avoiding-chemotherapy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41119/psn-pdfJuly 03, 2016 - How can we make diagnosis safer? July 3, 2016 Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138. doi:10.1097/ACM.0b013e31823f711c. https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer Autopsy studies spanning five decades consistently show an error rate of almost … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74029/psn-pdfJanuary 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. November 3, 2021 Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41404/psn-pdfDecember 31, 2014 - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. December 31, 2014 Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40026/psn-pdfSeptember 20, 2011 - Effect of a comprehensive surgical safety system on patient outcomes. September 20, 2011 de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/NEJMsa0911535. https://psnet.ahrq.gov/issue/effect-comprehensive-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43193/psn-pdfJune 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866643/psn-pdfSeptember 04, 2024 - Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. September 4, 2024 Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic method for finding missed and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837136/psn-pdfMay 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47529/psn-pdfJanuary 21, 2019 - Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. January 21, 2019 Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39655/psn-pdfJuly 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44042/psn-pdfNovember 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72670/psn-pdfJanuary 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45216/psn-pdfJune 08, 2016 - Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. https://psnet.ahrq.gov/issue/ambulatory-computeriz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45894/psn-pdfJune 23, 2017 - Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. June 23, 2017 Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. doi:10.1016/j.ajic.2016.12.005. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45891/psn-pdfOctober 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36201/psn-pdfJuly 10, 2008 - US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. July 10, 2008 Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-11. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866405/psn-pdfJuly 31, 2024 - Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. July 31, 2024 Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in response to fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60812/psn-pdfJanuary 01, 2021 - A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. August 19, 2020 Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. JBI Ev…
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