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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43001/psn-pdfMarch 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46289/psn-pdfJanuary 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47979/psn-pdfMay 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845649/psn-pdfMarch 08, 2023 - Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023 Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73995/psn-pdfOctober 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45421/psn-pdfDecember 14, 2016 - The medication reconciliation process and classification of discrepancies: a systematic review. December 14, 2016 Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45271/psn-pdfAugust 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38873/psn-pdfAugust 19, 2009 - What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. August 19, 2009 Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qual Saf Health Care. 2009;18(4):248-5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72702/psn-pdfFebruary 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021 Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. https://psnet.ahrq.gov/issue/out… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44234/psn-pdfSeptember 09, 2015 - Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. September 9, 2015 Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72605/psn-pdfDecember 23, 2020 - Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. December 23, 2020 Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obstet Gynecol. 2020;223(5):B12-B15. doi:10.1016/j.ajog.2020.0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43139/psn-pdfApril 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43830/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48160/psn-pdfJanuary 01, 2020 - Engaging the patient and family in the surgical safety process utilizing SafeStart. August 28, 2019 Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. https://psnet.ahrq.gov/issue/engag… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44836/psn-pdfJanuary 27, 2016 - Advancing the next generation of handover research and practice with cognitive load theory. January 27, 2016 Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838921/psn-pdfOctober 26, 2022 - Improving discharge safety in a pediatric emergency department. October 26, 2022 Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307. https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42286/psn-pdfMay 22, 2013 - Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. May 22, 2013 Huis A, Schoonhoven L, Grol R, et al. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45286/psn-pdfMay 07, 2018 - Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. https://psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility Neuromuscular blockers can result in seriou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45886/psn-pdfJuly 05, 2017 - Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. July 5, 2017 Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46526/psn-pdfDecember 22, 2018 - Risk factors for adverse events in emergency department procedural sedation for children. December 22, 2018 Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jamapediatrics.2017.2135. https:…
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