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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841787/psn-pdfDecember 21, 2022 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. December 21, 2022 Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73571/psn-pdfAugust 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43656/psn-pdfSeptember 01, 2016 - Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. September 1, 2016 Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73679/psn-pdfSeptember 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837039/psn-pdfMay 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73656/psn-pdfSeptember 01, 2021 - Opioid prescribing to US children and young adults in 2019. September 1, 2021 Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40645/psn-pdfNovember 26, 2012 - Rapid-response teams. November 26, 2012 Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46. doi:10.1056/NEJMra0910926. https://psnet.ahrq.gov/issue/rapid-response-teams Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid resp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866433/psn-pdfAugust 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta- analysis. August 7, 2024 Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48109/psn-pdfJanuary 01, 2020 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. July 24, 2019 Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation of a State-Wide Pediatric Drug Dos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60849/psn-pdfJanuary 01, 2021 - Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. August 26, 2020 Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. BM… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866904/psn-pdfOctober 09, 2024 - Crying wolf, alarm safety and management in paediatrics: a scoping review. October 9, 2024 Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398. https://psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74695/psn-pdfJanuary 26, 2022 - Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837972/psn-pdfSeptember 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. September 1, 2022 Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72710/psn-pdfFebruary 03, 2021 - A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. February 3, 2021 Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance regarding medication errors in nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74110/psn-pdfNovember 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74082/psn-pdfNovember 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41186/psn-pdfJanuary 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837743/psn-pdfJuly 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47001/psn-pdfAugust 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61026/psn-pdfOctober 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020 Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
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