-
psnet.ahrq.gov/node/36843/psn-pdf
January 05, 2017 - Improving medication reconciliation in the outpatient
setting.
January 5, 2017
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm
J Qual Patient Saf. 2007;33(5):286-92.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
The Jo…
-
psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy.
December 23, 2016
Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues
…
-
psnet.ahrq.gov/node/47034/psn-pdf
May 16, 2018 - Disruptive physician behavior: the importance of
recognition and intervention and its impact on patient
safety.
May 16, 2018
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its
Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945.
htt…
-
psnet.ahrq.gov/node/837027/psn-pdf
May 04, 2022 - Association of measured quality with financial health
among U.S. hospitals.
May 4, 2022
Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S.
hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696.
https://psnet.ahrq.gov/issue/association-measured-qua…
-
psnet.ahrq.gov/node/73635/psn-pdf
August 25, 2021 - Impact of smart pump-electronic health record
interoperability on patient safety and finances at a
community hospital
August 25, 2021
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient
safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
-
psnet.ahrq.gov/node/74731/psn-pdf
February 02, 2022 - Impact of full personal protective equipment on alertness
of healthcare workers: a prospective study.
February 2, 2022
Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of
healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1):e001551. doi:10.1136/bmjoq-202…
-
psnet.ahrq.gov/node/863211/psn-pdf
February 28, 2024 - Physician and nurse well-being, patient safety and
recommendations for interventions: cross-sectional
survey in hospitals in six European countries.
February 28, 2024
Aiken LH, Sermeus W, McKee M, et al. BMJ Open. 2024;14(2):e079931.
https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-re…
-
psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
-
psnet.ahrq.gov/node/45247/psn-pdf
August 15, 2016 - Physician transition of care: benefits of I-PASS and an
electronic handoff system in a community pediatric
residency program.
August 15, 2016
Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic
Handoff System in a Community Pediatric Residency Program. Acad Pediat…
-
psnet.ahrq.gov/node/46559/psn-pdf
December 22, 2018 - Effect of promoting high-quality staff interactions on fall
prevention in nursing homes: a cluster-randomized trial.
December 22, 2018
Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on
Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…
-
psnet.ahrq.gov/node/837151/psn-pdf
May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a
critique of postpartum readmission rate as a quality
metric.
May 18, 2022
Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of
postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
-
psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
-
psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - Opioid prescribing to US children and young adults in
2019.
September 1, 2021
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019.
Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
-
psnet.ahrq.gov/node/850932/psn-pdf
June 21, 2023 - Evaluation of detected medication errors within the
operating room at an academic medical center.
June 21, 2023
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an
academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110.
https://p…
-
psnet.ahrq.gov/node/43993/psn-pdf
November 29, 2017 - An evaluation of shared mental models and mutual trust
on general medical units: implications for collaboration,
teamwork, and patient safety.
November 29, 2017
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust
on General Medical Units: Implications for Collaboration…
-
psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in
surgery.
November 27, 2012
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in surgery…
-
psnet.ahrq.gov/node/74751/psn-pdf
February 09, 2022 - A quality improvement initiative to improve patient safety
event reporting by residents.
February 9, 2022
Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event
reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519.
https://psnet.…
-
psnet.ahrq.gov/node/74110/psn-pdf
November 24, 2021 - New problems and iatrogenic events among older adults
in the first 30 days of post-acute rehabilitation.
November 24, 2021
Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of
post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
-
psnet.ahrq.gov/node/40410/psn-pdf
May 11, 2011 - Evaluation of the role of the critical care pharmacist in
identifying and avoiding or minimizing significant
drug–drug interactions in medical intensive care patients.
May 11, 2011
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or
minimizing significant drug-dru…
-
psnet.ahrq.gov/node/45576/psn-pdf
July 02, 2017 - Peer feedback, learning, and improvement: answering the
call of the Institute of Medicine report on diagnostic error.
July 2, 2017
Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the
Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1…