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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854374/psn-pdfOctober 11, 2023 - Learning from latent safety threats identified during simulation to improve patient safety. October 11, 2023 Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):716-723. doi:10.1016/j.jcjq.2023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42932/psn-pdfDecember 30, 2014 - SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. December 30, 2014 Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreases incident reports due to com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47680/psn-pdfJanuary 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat… -
www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/intimate-partner-violence-abuse-older-vulnerable-adultsOctober 29, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: Screening An Update for This Topic is In Progress LAST UPDATED: Oct 29, 2024 The Task Force keeps rec…
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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/45335/psn-pdfAugust 10, 2016 - The Feasibility of Determining the Effectiveness and Cost- effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. August 10, 2016 Bhattacharya D, Aldus CF, Barton G, et al. Health Tech… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861767/psn-pdfJanuary 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844543/psn-pdfFebruary 15, 2023 - The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. February 15, 2023 Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Am J Med Qual. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35896/psn-pdfJuly 23, 2010 - Work-hour restrictions as an ethical dilemma for residents. July 23, 2010 Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am J Surg. 2006;191(4):527-32. https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents This study surveyed 170 res… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839319/psn-pdfNovember 02, 2022 - Improving safety in the operating room: medication icon labels increase visibility and discrimination. November 2, 2022 Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847728/psn-pdfApril 19, 2023 - Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. April 19, 2023 Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. JAMA Otolary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45501/psn-pdfOctober 28, 2016 - Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. October 28, 2016 Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41920/psn-pdfOctober 08, 2013 - Review of computerized physician handoff tools for improving the quality of patient care. October 8, 2013 Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. https://psnet.ahrq.gov/issue/review-com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45074/psn-pdfJune 01, 2016 - Post-event debriefings during neonatal care: why are we not doing them, and how can we start? June 1, 2016 Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/jp.2016.42. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47690/psn-pdfMarch 13, 2019 - I-PASS mentored implementation handoff curriculum: champion training materials. March 13, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794. https://psnet.ahrq.gov/issue/i-pass-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866314/psn-pdfJuly 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. July 17, 2024 Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Am J Clin Pathol.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46646/psn-pdfJanuary 01, 2021 - Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. December 20, 2017 Vacher A, El Mhamdi S, d?Hollander A, et al. Impact of an Original Methodological T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44754/psn-pdfMarch 23, 2016 - Use of failure mode and effects analysis to improve emergency department handoff processes. March 23, 2016 Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000169. https://psnet.ahrq.gov/issue/use-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43799/psn-pdfJanuary 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46357/psn-pdfMay 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. May 17, 2018 Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680. https://psnet.ahrq…
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