-
psnet.ahrq.gov/node/44187/psn-pdf
November 10, 2015 - A safe practice standard for barcode technology.
November 10, 2015
Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf.
2015;11(2):89-99. doi:10.1097/PTS.0000000000000049.
https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology
Barcode technology has…
-
psnet.ahrq.gov/node/853062/psn-pdf
August 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.…
-
psnet.ahrq.gov/node/764400/psn-pdf
March 02, 2022 - A mixed methods evaluation of medication reconciliation
in the primary care setting.
March 2, 2022
Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation
in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882.
https://psnet.ahr…
-
psnet.ahrq.gov/node/850175/psn-pdf
June 07, 2023 - Explicitly addressing implicit bias on inpatient rounds:
student and faculty reflections.
June 7, 2023
Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.
Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585.
https://psnet.ahrq.gov/issue/explicitly-addressi…
-
psnet.ahrq.gov/node/42466/psn-pdf
March 04, 2015 - Adherence to drug–drug interaction alerts in high-risk
patients: a trial of context-enhanced alerting.
March 4, 2015
Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context-
enhanced alerting. J Am Med Inform Assoc. 2013;20(3):494-8. doi:10.1136/amiajnl-2012-0010…
-
psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - Back to basics: preventing surgical site infections.
June 4, 2014
Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11.
doi:10.1016/j.aorn.2014.02.002.
https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
Surgical site infections are a common …
-
psnet.ahrq.gov/node/34890/psn-pdf
February 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…
-
psnet.ahrq.gov/node/44763/psn-pdf
November 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with
migrated leadership can improve compliance and team
engagement.
November 18, 2016
Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated
leadership can improve compliance and team engagement. BMJ Qual Saf. 2…
-
psnet.ahrq.gov/node/47572/psn-pdf
January 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…
-
psnet.ahrq.gov/node/40476/psn-pdf
September 09, 2011 - Medication administration technologies and patient
safety: a mixed-method systematic review.
September 9, 2011
Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-
method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.1111/j.1365-2648.2011.05676.x.
h…
-
psnet.ahrq.gov/node/865880/psn-pdf
May 15, 2024 - Racial and ethnic harm in patient care is a patient safety
issue.
May 15, 2024
Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue.
Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012.
https://psnet.ahrq.gov/issue/racial-and-ethnic-har…
-
psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - Global Guidelines on the Prevention of Surgical Site
Infection.
January 3, 2018
Global Guidelines on the Prevention of Surgical Site Infection.
https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
Efforts to reduce surgical site infections have achieved some success. The World Health O…
-
psnet.ahrq.gov/node/47270/psn-pdf
August 08, 2018 - A method to identify pediatric high-risk diagnoses missed
in the emergency department.
August 8, 2018
Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the
emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018-0005.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/43326/psn-pdf
August 13, 2014 - Identifying high-risk medication: a systematic literature
review.
August 13, 2014
Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur
J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z.
https://psnet.ahrq.gov/issue/identifying-high-risk-medi…
-
psnet.ahrq.gov/node/47593/psn-pdf
December 12, 2018 - Multi-level analysis of national nursing students'
disclosure of patient safety concerns.
December 12, 2018
Palese A, Gonella S, Grassetti L, et al. Multi-level analysis of national nursing students' disclosure of
patient safety concerns. Med Educ. 2018;52(11):1156-1166. doi:10.1111/medu.13716.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/47237/psn-pdf
January 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…
-
psnet.ahrq.gov/node/46390/psn-pdf
October 29, 2017 - Using data to enhance performance and improve quality
and safety in surgery.
October 29, 2017
Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and
Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888.
https://psnet.ahrq.gov/issue/using-data-…
-
psnet.ahrq.gov/node/46383/psn-pdf
September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and
Evidence.
September 20, 2017
Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
Health care has been exploring a variety of strategies to mitigate the opioid ep…
-
psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
-
psnet.ahrq.gov/node/36529/psn-pdf
August 09, 2011 - 5 Million Lives Campaign.
August 9, 2011
Institute for Healthcare Improvement; IHI
https://psnet.ahrq.gov/issue/5-million-lives-campaign
The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than
3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…