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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43229/psn-pdfJune 04, 2014 - Liquid medication dosing errors in children: role of provider counseling strategies. June 4, 2014 Yin S, Dreyer BP, Moreira HA, et al. Liquid medication dosing errors in children: role of provider counseling strategies. Acad Pediatr. 2014;14(3):262-70. doi:10.1016/j.acap.2014.01.003. https://psnet.ahrq.gov/issue/l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60656/psn-pdfJuly 08, 2020 - COVID-19: to be or not to be; that is the diagnostic question. July 8, 2020 Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question. Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979. https://psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnost… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43234/psn-pdfJune 04, 2014 - Independent double-checks for high-alert medications: essential practice. June 4, 2014 Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. https://psnet.ahrq.gov/issue/independent-double-checks-high… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60742/psn-pdfJuly 29, 2020 - Doctors and dentists still flooding U.S. with opioid prescriptions. July 29, 2020 Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17. https://psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions Despite efforts to reduce opio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37401/psn-pdfMarch 28, 2012 - Interventions for preventing falls in acute- and chronic- care hospitals: a systematic review and meta-analysis. March 28, 2012 Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865493/psn-pdfApril 03, 2024 - Implement strategies to prevent persistent medication errors and hazards: 2024. April 3, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024 Systemic failures can perpetuate unsafe care if a lack of p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44260/psn-pdfNovember 06, 2015 - Innovative teaching in situational awareness. November 6, 2015 Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310. https://psnet.ahrq.gov/issue/innovative-teaching-situational-awareness Nontechnical skills contribute to successful teamwork an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36576/psn-pdfJanuary 14, 2011 - Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. January 14, 2011 Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a survey of emergency medicine resid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44944/psn-pdfJuly 01, 2016 - Managing and mitigating conflict in healthcare teams: an integrative review. July 1, 2016 Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. https://psnet.ahrq.gov/issue/managing-and-mitigat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38276/psn-pdfDecember 10, 2008 - Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. December 10, 2008 Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred from the hospital to the nursing h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50594/psn-pdfOctober 30, 2019 - Pharmacist linkage in care transitions: from academic medical center to community. October 30, 2019 Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50825/psn-pdfJanuary 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50758/psn-pdfDecember 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73477/psn-pdfJuly 07, 2021 - Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. July 7, 2021 Saks M, Landsman S. New York, NY: Oxford University Press; 2021. ISBN: 9780190667986. https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm A weave of systemic factors c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45756/psn-pdfDecember 21, 2016 - Accidental IV infusion of heparinized irrigation in the OR. December 21, 2016 ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. https://psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or Accidental administration of irrigation solutions are a wrong-route error that can re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43394/psn-pdfJuly 30, 2014 - With oral chemotherapy, we simply must do better! July 30, 2014 ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4. https://psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better To illustrate hazards associated with dispensing more than one dose of certain medications, this newsletter … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45572/psn-pdfMarch 22, 2017 - Ordering interruptions in a tertiary care center: a prospective observational study. March 22, 2017 Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016-0127. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47781/psn-pdfFebruary 27, 2019 - Medicine Safety: Take Care. February 27, 2019 Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019. https://psnet.ahrq.gov/issue/medicine-safety-take-care Analyzing the evidence on medication errors in Australia, this report estimates the incidence of acute care ad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35836/psn-pdfMarch 28, 2011 - Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. March 28, 2011 Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Qual Saf Health Care. 2006;15(2)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47485/psn-pdfJanuary 09, 2019 - System-related and cognitive errors in laboratory medicine. January 9, 2019 Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191- 196. doi:10.1515/dx-2018-0085. https://psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine Problems managing …
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