-
psnet.ahrq.gov/node/60762/psn-pdf
August 05, 2020 - Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation.
August 5, 2020
Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Pharm. 2020;77(14):1135-1143.
doi:1…
-
psnet.ahrq.gov/node/35716/psn-pdf
July 10, 2008 - Adherence to black box warnings for prescription
medications in outpatients.
July 10, 2008
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in
outpatients. Arch Intern Med. 2006;166(3):338-44.
https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic…
-
digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision/final-report
January 01, 2023 - Using nursing practices and health IT to reduce fall-related injuries.
Citation
Hook ML, Lang NM, Joosse L, et al. Using nursing practices and health IT to reduce fall-related injuries. (Prepared by Aurora Health Care System Nursing Research, the University of Wisconsin-Milwaukee Colleges of Nursing a…
-
psnet.ahrq.gov/node/43614/psn-pdf
October 22, 2014 - Hardwiring patient blood management: harnessing
information technology to optimize transfusion practice.
October 22, 2014
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information
technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20.
doi:10.1097/MOH.000…
-
cds.ahrq.gov/sites/default/files/cds/artifact/1181/Logic_Flow_Brief_Intervention_and_Referral_CDS.pdf
July 14, 2020 - Brief Intervention and Referral CDS Logic Flow
7/14/2020
Clinical Decision Support (CDS) Logic Flow:
Brief Behavioral Counseling Interventions for Excessive Alcohol Consumption with Optional Referral to Treatment
The CDS logic flow diagram in Figure 1 displays an overview of the CDS logic that applies to pat…
-
psnet.ahrq.gov/node/46719/psn-pdf
December 20, 2017 - Frustrated with your EHR? Don't blame your
vendor—safety is a shared responsibility.
December 20, 2017
Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
The promise of health information technology has yet to be…
-
psnet.ahrq.gov/node/60791/psn-pdf
August 12, 2020 - Adaptive design: adaptation and adoption of patient
safety practices in daily routines, a multi-site study.
August 12, 2020
Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and
adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res.
…
-
psnet.ahrq.gov/node/37411/psn-pdf
March 28, 2012 - Professionalism in medicine: results of a national survey
of physicians.
March 28, 2012
Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of
physicians. Ann Intern Med. 2007;147(11):795-802.
https://psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey…
-
psnet.ahrq.gov/node/73681/psn-pdf
September 08, 2021 - Medical errors during training: how do residents cope?: a
descriptive study.
September 8, 2021
Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a
descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1.
https://psnet.ahrq.gov/issue/medical-erro…
-
psnet.ahrq.gov/node/866937/psn-pdf
October 09, 2024 - Improving nursing home safety through adoption of a
practical resilient health care approach.
October 9, 2024
Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical
resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124.
ht…
-
psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
-
psnet.ahrq.gov/node/34921/psn-pdf
February 27, 2009 - A controlled trial of smart infusion pumps to improve
medication safety in critically ill patients.
February 27, 2009
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication
safety in critically ill patients. Crit Care Med. 2005;33(3):533-540.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
-
psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
-
psnet.ahrq.gov/node/73439/psn-pdf
June 30, 2021 - Nurses as 'second victims' to their patients' suicidal
attempts: a mixed-method study.
June 30, 2021
Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts:
a mixed?method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/45412/psn-pdf
November 18, 2016 - The multidisciplinary approach to GI cancer results in
change of diagnosis and management of patients.
Multidisciplinary care impacts diagnosis and
management of patients.
November 18, 2016
Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results in Change
of Diagnosis and Ma…
-
psnet.ahrq.gov/node/73624/psn-pdf
August 25, 2021 - System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency.
August 25, 2021
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119.
doi:10.1097/sla.00000000…
-
psnet.ahrq.gov/node/40180/psn-pdf
February 02, 2011 - Large-scale deployment of the Global Trigger Tool across
a large hospital system: refinements for the
characterisation of adverse events to support patient
safety learning opportunities.
February 2, 2011
Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trigger Tool across a large
hospital…
-
psnet.ahrq.gov/node/855424/psn-pdf
November 15, 2023 - Medical students' experiences, perceptions, and
management of second victim: an interview study.
November 15, 2023
Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and
management of second victim: an interview study. BMC Med Educ. 2023;23(1):786. doi:10.1186/s12909-
023…
-
psnet.ahrq.gov/node/866408/psn-pdf
July 31, 2024 - Influences of leadership, organizational culture, and
hierarchy on raising concerns about patient deterioration:
a qualitative study.
July 31, 2024
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy
on raising concerns about patient deterioration: a qualit…