-
psnet.ahrq.gov/node/43786/psn-pdf
December 17, 2014 - Aviation tools to improve patient safety.
December 17, 2014
Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10.
doi:10.1016/j.jopan.2014.09.004.
https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
The aviation industry offers insights and tools applicable to error…
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psnet.ahrq.gov/node/74118/psn-pdf
January 01, 2022 - From HRO to HERO: making health equity a core system
capability.
November 24, 2021
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability.
Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
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psnet.ahrq.gov/node/72591/psn-pdf
December 23, 2020 - Bias and racism teaching rounds at an academic medical
center.
December 23, 2020
Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest.
2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073.
https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…
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psnet.ahrq.gov/node/43733/psn-pdf
March 14, 2016 - The effect of an electronic checklist on critical care
provider workload, errors, and performance.
March 14, 2016
Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care
Provider Workload, Errors, and Performance. J Intensive Care Med. 2016;31(3):205-12.
doi:10.1177/08…
-
psnet.ahrq.gov/node/35971/psn-pdf
May 27, 2011 - Effectiveness of computerized provider order entry with
dose range checking on prescribing errors.
May 27, 2011
Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range
Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd.
…
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psnet.ahrq.gov/node/45987/psn-pdf
April 26, 2017 - Using simulation to prepare nursing staff for the move to
a new building.
April 26, 2017
Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J
Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329.
https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…
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psnet.ahrq.gov/node/44843/psn-pdf
September 06, 2016 - Addressing the Global Shortages of Medicines, and the
Safety and Accessibility of Children's Medication.
September 6, 2016
Geneva, Switzerland: World Health Organization; 2015.
https://psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens-
medication
Drug shortages have…
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psnet.ahrq.gov/node/72687/psn-pdf
January 27, 2021 - Learning from errors with the new COVID-19 vaccines.
January 27, 2021
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
Learning from error rests on transparency efforts buttressed by frontline reports. This a…
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psnet.ahrq.gov/node/39218/psn-pdf
January 13, 2010 - Prolonged hospital stay and the resident duty hour rules
of 2003.
January 13, 2010
Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of
2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff.
https://psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-d…
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psnet.ahrq.gov/node/33927/psn-pdf
June 23, 2015 - Errors, incidents and accidents in anaesthetic practice.
June 23, 2015
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and
accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19.
https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…
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psnet.ahrq.gov/node/73489/psn-pdf
July 15, 2021 - A diagnostic time-out to improve differential diagnosis in
pediatric abdominal pain.
July 15, 2021
Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric
abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/73249/psn-pdf
May 12, 2021 - I-PASS handover system: a decade of evidence demands
action.
May 12, 2021
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf.
2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
The I-PASS structu…
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psnet.ahrq.gov/node/72674/psn-pdf
January 27, 2021 - The effect of blue-enriched lighting on medical error rate
in a university hospital ICU.
January 27, 2021
Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a
University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007.
https://psne…
-
psnet.ahrq.gov/node/46681/psn-pdf
April 16, 2018 - Trainee autonomy and patient safety.
April 16, 2018
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg.
2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
Reduced resident work hours and insufficient senior surgeon…
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psnet.ahrq.gov/node/72761/psn-pdf
February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic--
letter to health care providers.
February 17, 2021
Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration;
February 9. 2021.
https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
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psnet.ahrq.gov/node/47028/psn-pdf
May 02, 2018 - Medication errors 2018: the year in review.
May 2, 2018
Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018.
https://psnet.ahrq.gov/issue/medication-errors-2018-year-review
Despite considerable effort, medication errors continue to occur and result in patient harm. Summari…
-
psnet.ahrq.gov/node/44333/psn-pdf
July 15, 2015 - One hospital's initiatives to encourage safe opioid use.
July 15, 2015
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs.
2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
This commentar…
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psnet.ahrq.gov/node/37671/psn-pdf
July 25, 2008 - Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking
system for detecting and preventing errors.
July 25, 2008
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking system for de…
-
psnet.ahrq.gov/node/41577/psn-pdf
September 27, 2016 - Nursing perception of the impact of medication carts on
patient safety and ergonomics in a teaching health care
center.
September 27, 2016
Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient
safety and ergonomics in a teaching health care center. J Pharm Pract. 201…
-
psnet.ahrq.gov/node/866956/psn-pdf
October 16, 2024 - Obstetrics and gynecologic hospitalists and their focus:
impact on safety and quality metrics.
October 16, 2024
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and
quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461. doi:10.1016/j.ogc.2024.05.001.
htt…