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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47572/psn-pdfJanuary 23, 2019 - In patient safety efforts, pharmacists gain new prominence. January 23, 2019 Gale R. In Patient Safety Efforts, Pharmacists Gain New Prominence. Health Aff (Millwood). 2018;37(11):1726-1729. doi:10.1377/hlthaff.2018.1225. https://psnet.ahrq.gov/issue/patient-safety-efforts-pharmacists-gain-new-prominence This com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46813/psn-pdfMarch 14, 2018 - Our other prescription drug problem. March 14, 2018 Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693- 695. doi:10.1056/NEJMp1715050. https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem Unintended consequences can emerge when targeted strategies divert … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43105/psn-pdfApril 02, 2014 - Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014 Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. 2014;218(2):290-3. doi:10.1016/j.jam… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34890/psn-pdfFebruary 17, 2011 - Electronic alerts to prevent venous thromboembolism among hospitalized patients. February 17, 2011 Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43830/psn-pdfFebruary 04, 2015 - A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study. February 4, 2015 Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47237/psn-pdfJanuary 01, 2020 - First-year analysis of the Operating Room Black Box study. July 25, 2018 Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study An… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860733/psn-pdfJanuary 17, 2024 - Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. January 17, 2024 McGrory K, Bedi N. ProPublica, January 6, 2024. https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy Stories of mental health system failure provid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42673/psn-pdfOctober 30, 2013 - Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management. October 30, 2013 Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43986/psn-pdfSeptember 26, 2016 - The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. September 26, 2016 Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43692/psn-pdfApril 22, 2015 - Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. April 22, 2015 Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):341-5. doi:10.1093/ejcts/ezu380. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46130/psn-pdfJune 21, 2017 - High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. June 21, 2017 Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;3(1):6. doi:10.1186/s40886-017-0057-6. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843521/psn-pdfFebruary 01, 2023 - How providers can optimize effective and safe scribe use: a qualitative study. February 1, 2023 Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. https://psnet.ahrq.gov/issue/how-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50829/psn-pdfJanuary 22, 2020 - How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. January 22, 2020 Ganguli I. Washington Post. January 5, 2020. https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm- good Overdiagnosis and uncertainty can result in a range of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45331/psn-pdfAugust 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43843/psn-pdfFebruary 11, 2015 - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. February 11, 2015 Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med Inform. 2014;83(12). doi:10.101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837206/psn-pdfMay 25, 2022 - Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327. doi:10.1016/j.jen.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840167/psn-pdfNovember 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44183/psn-pdfNovember 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73253/psn-pdfMay 12, 2021 - Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. May 12, 2021 ISMP Medication Safety Alert! Acute Care Edition. April 22, 2021.26(8):1-5. https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- 2019-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853062/psn-pdfAugust 30, 2023 - Quality and safety practices among academic obstetrics and gynecology departments. August 30, 2023 Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129. https://psnet.ahrq.…
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