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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - Planning Checklist for Scheduled Admissions
2.
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psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - Medication error prevention by pharmacists.
December 23, 2008
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm.
1988;45(9):1902-3.
https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
This study investigated the impact of hospital pharmacists in preve…
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psnet.ahrq.gov/node/45788/psn-pdf
March 01, 2017 - Latest Results From the "FIRST" Trial.
March 1, 2017
J Am Coll Surg. 2017;224:103-159.
https://psnet.ahrq.gov/issue/latest-results-first-trial
The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program
response to duty hour rules. This special issue features studies ex…
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…
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psnet.ahrq.gov/node/36736/psn-pdf
March 21, 2012 - FDA preliminary public health notification: unpredictable
events in medical equipment due to new daylight savings
time change.
March 21, 2012
Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1,
2007.
https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…
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psnet.ahrq.gov/node/37920/psn-pdf
May 24, 2015 - Functional health literacy and understanding of
medications at discharge.
May 24, 2015
Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at
discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554.
https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…
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psnet.ahrq.gov/node/45185/psn-pdf
August 03, 2016 - Final Report of the Commission on Care.
August 3, 2016
Washington, DC: Commission on Care; June 2016.
https://psnet.ahrq.gov/issue/final-report-commission-care
The Veterans Affairs health system has recently faced challenges associated with access and quality.
Providing an assessment of the current and future stat…
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psnet.ahrq.gov/node/43896/psn-pdf
October 26, 2015 - Nurses seek to reduce long hours and fatigue.
October 26, 2015
Ungar L. USA Today. February 1, 2015.
https://psnet.ahrq.gov/issue/nurses-seek-reduce-long-hours-and-fatigue
This news article discusses problems associated with nurse fatigue and strategies hospitals are utilizing to
prevent nursing staff from being o…
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psnet.ahrq.gov/node/35720/psn-pdf
April 14, 2011 - A survey of factors affecting clinician acceptance of
clinical decision support.
April 14, 2011
Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision
support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.
https://psnet.ahrq.gov/issue/surve…
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psnet.ahrq.gov/node/72569/psn-pdf
January 01, 2021 - Risk factors associated with medication ordering errors.
December 16, 2020
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J
Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - arrangements made, specific follow-up needs (including appointments or procedures that
need to be scheduled
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psnet.ahrq.gov/node/854628/psn-pdf
October 18, 2023 - Determining medication errors in an adult intensive care
unit.
October 18, 2023
Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive
care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788.
https://psnet.ahrq.gov/issue/determining-m…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - patient was admitted to the orthopedic surgery service to fix the fracture; the surgery was initially
scheduled
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psnet.ahrq.gov/node/37802/psn-pdf
November 14, 2011 - Differences in day and night shift clinical performance in
anesthesiology.
November 14, 2011
Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in
anesthesiology. Hum Factors. 2008;50(2):276-90.
https://psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-perfor…
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psnet.ahrq.gov/node/46944/psn-pdf
March 21, 2018 - Critical Deficiencies at the Washington DC VA Medical
Center.
March 21, 2018
Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No.
17-02644-130.
https://psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
Systemic weaknesses in the Veterans A…
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psnet.ahrq.gov/node/43269/psn-pdf
July 28, 2014 - Restoring trust in VA health care.
July 28, 2014
Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297.
doi:10.1056/NEJMp1406852.
https://psnet.ahrq.gov/issue/restoring-trust-va-health-care
In response to a recent investigation raising concerns about inaccurate reporting of wait-ti…
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psnet.ahrq.gov/node/45789/psn-pdf
January 11, 2017 - Concurrent and Overlapping Surgeries: Additional
Measures Warranted.
January 11, 2017
US Senate Finance Committee. December 6, 2016.
https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
The practice of scheduling concurrent surgeries has raised concerns about increased ri…
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psnet.ahrq.gov/node/60874/psn-pdf
September 02, 2020 - A national mixed-methods evaluation of preparedness for
general surgery residency and the association with
resident burnout.
September 2, 2020
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for
general surgery residency and the association with resident burnout.…
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psnet.ahrq.gov/node/74066/psn-pdf
November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety
Within the Veterans Health Administration.
November 10, 2021
US House of Representatives Committee on Veterans' Affairs Subcommittee on Health. 117th
Cong. 1st Sess (2021).
https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-withi…