-
psnet.ahrq.gov/node/853442/psn-pdf
September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and
Future Directions.
September 13, 2023
Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2023. AHRQ Publication No. 23-0040-5-EF.
https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…
-
psnet.ahrq.gov/node/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana.
June 7, 2017
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana.
Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
-
psnet.ahrq.gov/node/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/40541/psn-pdf
July 22, 2011 - Effect of a pharmacist-led multicomponent intervention
focusing on the medication monitoring phase to prevent
potential adverse drug events in nursing homes.
July 22, 2011
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on
the medication monitoring phase to p…
-
psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician order entry.
March 11, 2011
Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated
medications using computerized physician order entry. J Am Med Inform Assoc…
-
psnet.ahrq.gov/node/865978/psn-pdf
May 29, 2024 - Ensuring safe and equitable discharge: a quality
improvement initiative for individuals with hypertensive
disorders of pregnancy.
May 29, 2024
Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement
initiative for individuals with hypertensive disorders of pregnancy.…
-
psnet.ahrq.gov/node/74710/psn-pdf
January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement
in America: lessons learned and considerations to
promote further improvement in patient safety.
January 26, 2022
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons
learned and considerations to promote further i…
-
psnet.ahrq.gov/node/42489/psn-pdf
May 19, 2014 - Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication
administration.
May 19, 2014
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication administration. A…
-
psnet.ahrq.gov/node/44072/psn-pdf
August 02, 2015 - The rise of the medical scribe industry: implications for
the advancement of electronic health records.
August 2, 2015
Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the
advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128.
…
-
psnet.ahrq.gov/node/43830/psn-pdf
February 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…
-
psnet.ahrq.gov/node/40471/psn-pdf
May 25, 2011 - Effect of admission medication reconciliation on adverse
drug events from admission medication changes.
May 25, 2011
Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events
from admission medication changes. Arch Intern Med. 2011;171(9):860-1.
doi:10.1001/archinter…
-
psnet.ahrq.gov/node/46597/psn-pdf
November 01, 2017 - A novel process audit for standardized perioperative
handoff protocols.
November 1, 2017
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative
Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/73612/psn-pdf
August 18, 2021 - Evaluating the impact of radio frequency identification
retained surgical instruments tracking on patient safety:
literature review.
August 18, 2021
Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained
surgical instruments tracking on patient safety: literature re…
-
psnet.ahrq.gov/node/43109/psn-pdf
December 10, 2014 - Creating a physician-led quality imperative.
December 10, 2014
Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med
Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683.
https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
This commentary relates one…
-
psnet.ahrq.gov/node/45228/psn-pdf
June 29, 2016 - An innovative approach to the surgical time out: a patient-
focused model.
June 29, 2016
Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-
Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001.
https://psnet.ahrq.gov/issue/innovative-approach-su…
-
psnet.ahrq.gov/node/844748/psn-pdf
February 15, 2023 - 'They were his best shot. And they failed to help’: why did
EMS workers neglect Tyre Nichols?
February 15, 2023
Renault M. STAT. February 6, 2023.
https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-
tyre-nichols
Emergent care situations are vulnerable to a range …
-
psnet.ahrq.gov/node/46130/psn-pdf
June 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.
…
-
psnet.ahrq.gov/node/46482/psn-pdf
October 11, 2017 - What can physicians do to help curb the opioid crisis?
October 11, 2017
Bendix J.
https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
The persistent problem of opioid-related harm calls for changes in pain management practices and system
processes in all care settings. This magazine article…
-
psnet.ahrq.gov/node/43310/psn-pdf
July 09, 2014 - Antimicrobial stewardship: another focus for patient
safety?
July 9, 2014
Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin
Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patie…
-
psnet.ahrq.gov/node/60702/psn-pdf
July 22, 2020 - Impact of structured interdisciplinary bedside rounding
on patient outcomes at a large academic health centre.
July 22, 2020
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient
outcomes at a large academic health centre. BMJ Qual Saf. 2020;29(7):569-575. doi:10.113…