-
psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
-
psnet.ahrq.gov/node/851645/psn-pdf
July 26, 2023 - Anticoagulation-associated adverse drug events in
hospitalized patients across two time periods.
July 26, 2023
Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized
patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013.
ht…
-
psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/855421/psn-pdf
November 15, 2023 - Informatics tools in deprescribing and medication
optimization in older adults: development and
dissemination of VIONE methodology in a high reliability
organization.
November 15, 2023
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication
optimization in older adults: de…
-
psnet.ahrq.gov/node/45851/psn-pdf
February 22, 2017 - Eight years of decreased methicillin-resistant
Staphylococcus aureus health care–associated infections
associated with a Veterans Affairs prevention initiative.
February 22, 2017
Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus
aureus health care-associated i…
-
psnet.ahrq.gov/node/74153/psn-pdf
December 08, 2021 - The benefits and harms of open notes in mental health: a
Delphi survey of international experts.
December 8, 2021
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi
survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
-
psnet.ahrq.gov/node/47607/psn-pdf
February 13, 2019 - Infection prevention in long-term care: re-evaluating the
system using a human factors engineering approach.
February 13, 2019
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human
factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
-
psnet.ahrq.gov/node/867192/psn-pdf
November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook:
Medication and Other Substance Events.
November 20, 2024
2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville,
MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/48178/psn-pdf
January 01, 2020 - ACR guidance document on MR safe practices: updates
and critical information 2019.
August 14, 2019
ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging.
2020;51(2):331-338.
https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
-
psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
-
psnet.ahrq.gov/node/866637/psn-pdf
September 04, 2024 - Impact of rounding checklists on the outcomes of
patients admitted to ICUs: a systematic review and meta-
analysis.
September 4, 2024
MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients
admitted to ICUs: a systematic review and meta-analysis. Crit Care Explor. 202…
-
psnet.ahrq.gov/node/867388/psn-pdf
December 18, 2024 - Secure messaging use and wrong-patient ordering errors
among inpatient clinicians.
December 18, 2024
Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient
clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/45699/psn-pdf
December 21, 2016 - Towards a new paradigm in laboratory medicine: the five
rights.
December 21, 2016
Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med.
2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
Error…
-
psnet.ahrq.gov/node/60528/psn-pdf
May 27, 2020 - The prevalence and impact of potentially inappropriate
prescribing among older persons in primary care
settings: multilevel meta-analysis.
May 27, 2020
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing
among older persons in primary care settings: multilevel meta-a…
-
psnet.ahrq.gov/node/837903/psn-pdf
August 24, 2022 - The impact of drug error reduction software on
preventing harmful adverse drug events in England: a
retrospective database study.
August 24, 2022
Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing
harmful adverse drug events in England: a retrospective database stud…
-
psnet.ahrq.gov/node/839321/psn-pdf
November 02, 2022 - What is the evidence that a pharmacy team working in an
acute or emergency medicine department improves
outcomes for patients: a systematic review.
November 2, 2022
Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or
emergency medicine department improves outcomes…
-
psnet.ahrq.gov/node/61067/psn-pdf
January 01, 2021 - A program to provide clinicians with feedback on their
diagnostic performance in a learning health system.
October 28, 2020
Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their
diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
-
psnet.ahrq.gov/node/44456/psn-pdf
September 02, 2015 - Tackling communication barriers between long-term care
facility and emergency department transfers to improve
medication safety in older adults.
September 2, 2015
Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency
department transfers to improve medication safety …
-
psnet.ahrq.gov/node/837705/psn-pdf
July 20, 2022 - Understanding hazards for adverse drug events among
older adults after hospital discharge: insights from
frontline care professionals.
July 20, 2022
Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after
hospital discharge: insights from frontline care professionals…
-
psnet.ahrq.gov/node/44238/psn-pdf
November 03, 2015 - Use of temporary names for newborns and associated
risks.
November 3, 2015
Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated
Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007.
https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-ris…