-
psnet.ahrq.gov/node/44173/psn-pdf
July 16, 2015 - Opioid prescribing and potential overdose errors among
children 0 to 36 months old.
July 16, 2015
Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children
0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922815586050.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/47878/psn-pdf
June 05, 2019 - Nursing practice with hospitalised older people: safety
and harm.
June 5, 2019
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J
Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people…
-
psnet.ahrq.gov/node/47200/psn-pdf
August 20, 2018 - Creating a comprehensive, unit-based approach to
detecting and preventing harm in the neonatal intensive
care unit.
August 20, 2018
Sedlock EW, Ottosen M, Nether K, et al. J Patient Saf Risk Manag. 2018;23:167–175.
https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-har…
-
psnet.ahrq.gov/node/72481/psn-pdf
November 18, 2020 - Computer-based simulation to reduce EHR-related
chemotherapy ordering errors.
November 18, 2020
Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related
chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496.
https://psnet.ahrq.gov/issue/computer-base…
-
psnet.ahrq.gov/node/39334/psn-pdf
March 03, 2010 - The impact of prolonged continuous wakefulness on
resident clinical performance in the intensive care unit: a
patient simulator study.
March 3, 2010
Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical
performance in the intensive care unit: a patient simulator st…
-
psnet.ahrq.gov/node/46489/psn-pdf
January 01, 2021 - Intervening in interruptions: what exactly is the risk we
are trying to manage?
October 11, 2017
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to
Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429.
https://psnet.ahrq.gov/issue/intervening…
-
psnet.ahrq.gov/node/34914/psn-pdf
February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring Study database.
February 27, 2009
Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…
-
psnet.ahrq.gov/node/45378/psn-pdf
January 23, 2017 - Quantitative analysis of the content of EMS handoff of
critically ill and injured patients to the emergency
department.
January 23, 2017
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically
Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
-
psnet.ahrq.gov/node/46131/psn-pdf
December 19, 2017 - Characteristics associated with requests by pathologists
for second opinions on breast biopsies.
December 19, 2017
Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for
second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-953. doi:10.1136/jclinpath-2016-
…
-
psnet.ahrq.gov/node/45430/psn-pdf
September 28, 2016 - Understanding and responding when things go wrong:
key principles for primary care educators.
September 28, 2016
McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for
primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959.
https…
-
psnet.ahrq.gov/node/47107/psn-pdf
June 20, 2018 - Challenges in communication from referring clinicians to
pathologists in the electronic health record era.
June 20, 2018
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists
in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
-
psnet.ahrq.gov/node/46955/psn-pdf
May 30, 2018 - Governing the quality and safety of healthcare: a
conceptual framework.
May 30, 2018
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework.
Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
https://psnet.ahrq.gov/issue/governing-quality-and-safety-…
-
psnet.ahrq.gov/node/47192/psn-pdf
January 23, 2019 - Barriers to self-reporting patient safety incidents by
paramedics: a mixed methods study.
January 23, 2019
Sinclair JE, Austin MA, Bourque C, et al. Barriers to Self-Reporting Patient Safety Incidents by Paramedics:
A Mixed Methods Study. Prehosp Emerg Care. 2018;22(6):762-772. doi:10.1080/10903127.2018.1469703.
h…
-
psnet.ahrq.gov/node/46149/psn-pdf
June 28, 2017 - Clinical outcomes associated with medication regimen
complexity in older people: a systematic review.
June 28, 2017
Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen
Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 2016;65(4):747-753.
doi:10.1111/jgs.14…
-
psnet.ahrq.gov/node/46795/psn-pdf
March 28, 2018 - Systematic review and meta-analysis of the effectiveness
of pharmacist-led medication reconciliation in the
community after hospital discharge.
March 28, 2018
McNab D, Bowie P, Ross A, et al. Systematic review and meta-analysis of the effectiveness of pharmacist-
led medication reconciliation in the community afte…
-
psnet.ahrq.gov/node/46582/psn-pdf
February 14, 2018 - Technological distractions—part 1 and part 2.
February 14, 2018
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of
Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert
Fatigue Metrics. Crit Care Med. 2017;45(9):1481-1488. doi:1…
-
psnet.ahrq.gov/node/38679/psn-pdf
March 01, 2011 - Improving alarm performance in the medical intensive
care unit using delays and clinical context.
March 1, 2011
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit
using delays and clinical context. Anesth Analg. 2009;108(5):1546-52.
doi:10.1213/ane.0b013e31819bdfb…
-
psnet.ahrq.gov/node/47087/psn-pdf
May 02, 2018 - The Economics of Patient Safety in Primary and
Ambulatory Care: Flying Blind.
May 2, 2018
Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and
Development; 2018.
https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
The global eco…
-
psnet.ahrq.gov/node/46758/psn-pdf
April 12, 2019 - Association of hospitalist years of experience with
mortality in the hospitalized Medicare population.
April 12, 2019
Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the
Hospitalized Medicare Population. JAMA Intern Med. 2017;178(2). doi:10.1001/jamainternmed.2…
-
psnet.ahrq.gov/node/45421/psn-pdf
December 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…