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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837903/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40079/psn-pdfDecember 18, 2014 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 18, 2014 Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60636/psn-pdfJuly 01, 2020 - Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. July 1, 2020 Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30- Day Readmission Rates in a Skilled Nursing Facility. J Pharm Pract. 2020;33(3):306-3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866637/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60898/psn-pdfSeptember 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837632/psn-pdfJuly 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74719/psn-pdfFebruary 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47194/psn-pdfAugust 22, 2018 - Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. August 22, 2018 Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 2018;22(7):46. doi:10.1007/s11916-01… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867192/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36843/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44792/psn-pdfJanuary 13, 2016 - At the hospital, better responses to those beeping alarms. January 13, 2016 Landro L. Wall Street Journal. January 4, 2016. https://psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms Alert fatigue is a well-known problem in hospitals. This newspaper article reports on efforts to reduce unnecessary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47440/psn-pdfApril 07, 2019 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. April 7, 2019 Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39. https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process- obtaining-himss-sta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34666/psn-pdfDecember 22, 2009 - Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. December 22, 2009 Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41719/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46849/psn-pdfMay 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269. doi:10.1016/j.jcjq.2017.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851350/psn-pdfJuly 12, 2023 - A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. July 12, 2023 Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug- orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621. doi:10.108… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34916/psn-pdfMarch 09, 2009 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. March 9, 2009 Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45787/psn-pdfFebruary 01, 2017 - Infusion medication error reduction by two-person verification: a quality improvement initiative. February 1, 2017 Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). https://psnet.ahrq.gov/issue/infusio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866685/psn-pdfSeptember 11, 2024 - Evaluation and mitigation of the limitations of large language models in clinical decision-making. September 11, 2024 Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47121/psn-pdfAugust 08, 2018 - Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. August 8, 2018 Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001/jamanetworkopen.2018.0870. https…
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