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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44617/psn-pdfJanuary 22, 2016 - Pediatric prehospital medication dosing errors: a mixed- methods study. January 22, 2016 Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. https://psnet.ahrq.gov/issue/pediatric-preh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858323/psn-pdfDecember 13, 2023 - Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. December 13, 2023 O'Neill E. Health Shots. National Public Radio. December 2, 2023. https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses Inordinate focus on one element o… -
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 … -
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/866567/psn-pdfAugust 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74859/psn-pdfFebruary 23, 2022 - Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. February 23, 2022 doi:http://doi.org/10.23750/abm.v92iS2.11507. https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors- p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851059/psn-pdfJune 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R… -
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/48142/psn-pdfAugust 21, 2019 - Six ways to lower errors—and unnecessary surgeries—in radiology exams. August 21, 2019 Panner M. Forbes. August 12, 2019. https://psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams Diagnostic errors can result in harm across the spectrum of practice. Discussing cognitive and syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34637/psn-pdfMarch 02, 2011 - Risk management: extreme honesty may be the best policy. March 2, 2011 Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy This article reviews a humanistic risk management… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48167/psn-pdfAugust 28, 2019 - ASHP guidelines on perioperative pharmacy services. August 28, 2019 Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services Pharm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43874/psn-pdfFebruary 25, 2015 - An overview of the use and implementation of checklists in surgical specialities - a systematic review. February 25, 2015 Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):1317-23. doi:10.1016/j.ijsu.2014… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39993/psn-pdfJuly 03, 2014 - The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. July 3, 2014 Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and patient safety efforts in infection prev… -
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/47994/psn-pdfJuly 16, 2019 - What's in a name? Newborn naming conventions and wrong-patient errors. July 16, 2019 ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019. https://psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors Newborns assigned temporary names are at increased risk for patient misi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837979/psn-pdfAugust 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health. August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42415/psn-pdfJuly 24, 2013 - Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. July 24, 2013 Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Jt Comm J Qual Patient Saf. 2013;39(6)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44531/psn-pdfSeptember 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74756/psn-pdfFebruary 09, 2022 - Medication errors in overweight and obese pediatric patients: a systematic review. February 9, 2022 Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j.jcjq.2021.12.005. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844792/psn-pdfJanuary 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…
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