-
psnet.ahrq.gov/node/40614/psn-pdf
June 10, 2018 - This article discusses problems associated with overreliance on barcode system audio confirmation and
suggests
-
psnet.ahrq.gov/node/39196/psn-pdf
January 16, 2010 - dermatologic surgery adverse event (AE) reporting mechanisms, found that
no monitoring standard exists, and suggests
-
psnet.ahrq.gov/node/40686/psn-pdf
June 10, 2018 - oral-solid-medication-appearance-should-play-greater-role-medication-error-
prevention
This article suggests
-
psnet.ahrq.gov/node/35693/psn-pdf
May 03, 2017 - learning-and-sharing-safety-lessons-improve-patient-care
The author describes the steps for conducting a root cause analysis and suggests
-
psnet.ahrq.gov/node/40380/psn-pdf
November 21, 2016 - preventing-sentinel-events-caused-family-members
This commentary discusses errors in patient care caused by family members and suggests
-
psnet.ahrq.gov/node/35925/psn-pdf
July 26, 2010 - safe-medication-prescribing-and-monitoring-outpatient-setting
The author presents three case examples of medication error in ambulatory settings, suggests
-
psnet.ahrq.gov/node/40630/psn-pdf
September 07, 2016 - cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-
patterns
This article discusses how drug shortages in hospitals can endanger care and suggests
-
psnet.ahrq.gov/node/61112/psn-pdf
November 11, 2020 - clinician-level
Clinical decision support (CDS) alerts can improve patient safety, and prior research suggests
-
psnet.ahrq.gov/node/50535/psn-pdf
October 16, 2019 - This small, qualitative study in one hospital diabetes ward suggests that small iterative
changes can
-
psnet.ahrq.gov/node/60743/psn-pdf
July 29, 2020 - The author suggests roles for
leadership and Medicare to drive improvements.
-
psnet.ahrq.gov/node/48101/psn-pdf
August 14, 2019 - This
newsletter article suggests that utilizing this risk prevention strategy in peripheral care areas
-
psnet.ahrq.gov/node/50376/psn-pdf
September 25, 2019 - stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-
multisite
Smart infusion pumps have the potential to improve medication safety, but research suggests
-
psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
This report suggests
-
psnet.ahrq.gov/node/43674/psn-pdf
November 12, 2014 - and
ineffective patient–provider communication contributed to a patient's experience with harm and suggests
-
psnet.ahrq.gov/node/41122/psn-pdf
February 08, 2012 - can-we-make-airway-management-even-safer-lessons-national-audit
This commentary summarizes a report on airway management safety in the United Kingdom and suggests
-
psnet.ahrq.gov/node/40568/psn-pdf
June 29, 2011 - published case studies on tubing misconnections and expert recommendations for improvement,
this review suggests
-
psnet.ahrq.gov/node/40610/psn-pdf
July 13, 2011 - This commentary applied Joint Commission patient safety standards to the endoscopy care setting and
suggests
-
psnet.ahrq.gov/node/36111/psn-pdf
September 28, 2010 - prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
The author discusses how technology can help minimize medication errors and suggests
-
psnet.ahrq.gov/node/35226/psn-pdf
June 16, 2010 - He suggests that this
process will result in underreporting and provides a model for analyzing reporting
-
psnet.ahrq.gov/node/42959/psn-pdf
February 19, 2014 - article describes how changes in batch preparation processes can introduce opportunities
for errors and suggests