-
psnet.ahrq.gov/node/73547/psn-pdf
July 28, 2021 - Pharmacist and prescriber responsibilities for avoiding
prescription drug misuse.
July 28, 2021
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics.
2021;23(6):E471-479. doi:10.1001/amajethics.2021.471.
https://psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibiliti…
-
psnet.ahrq.gov/node/50580/psn-pdf
October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths:
inside an unfolding investigation at a VA hospital in West
Virginia.
October 23, 2019
Rein L. Washington Post. October 5, 2019.
https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-
investigation-va-hospital
The Vete…
-
psnet.ahrq.gov/node/47914/psn-pdf
May 22, 2019 - Hospitals look to computers to predict patient
emergencies before they happen.
May 22, 2019
Ross C. STAT. May 13, 2019.
https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring …
-
psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …
-
psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
February 13, 2019 - Study
Classic
The relationship between patients' perception of care and measures of hospital quality and safety.
Citation Text:
Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and …
-
psnet.ahrq.gov/node/865310/psn-pdf
March 27, 2024 - Organizational learning in the morbidity and mortality
conference.
March 27, 2024
Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J
Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416.
https://psnet.ahrq.gov/issue/organizational-learning-morbidi…
-
psnet.ahrq.gov/node/853061/psn-pdf
August 30, 2023 - Drug shortages.
August 30, 2023
Aronson JK, Heneghan C, Ferner RE. Br J Clin Pharmacol. 2023;89(10):2950-2963.
https://psnet.ahrq.gov/issue/drug-shortages-0
Addressing drug shortages is a patient safety priority. Part One of this review summarizes existing
definitions for drug shortages and the harms that can occu…
-
psnet.ahrq.gov/node/48042/psn-pdf
June 12, 2019 - Analysis of medical malpractice claims to improve quality
of care: cautionary remarks.
June 12, 2019
Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J
Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178.
https://psnet.ahrq.gov/issue/analysis-medical-mal…
-
psnet.ahrq.gov/node/47855/psn-pdf
June 19, 2019 - Medication Overload: America's Other Drug Problem.
June 19, 2019
Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019.
https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
Overprescribing is a common problem that contributes to patient harm. This report examines financial,
clinical, an…
-
psnet.ahrq.gov/node/41221/psn-pdf
March 14, 2012 - Hospitals may be the worst place to stay when you're
sick.
March 14, 2012
Greider K.
https://psnet.ahrq.gov/issue/hospitals-may-be-worst-place-stay-when-youre-sick
Reporting on the patient safety movement, this article discusses current safety efforts and notes that there
is still room for improvement.
https://p…
-
psnet.ahrq.gov/node/42097/psn-pdf
April 09, 2013 - Informatics confronts drug–drug interactions.
April 9, 2013
Percha B, Altman RB. Informatics confronts drug-drug interactions. Trends Pharmacol Sci. 2013;34(3):178-
84. doi:10.1016/j.tips.2013.01.006.
https://psnet.ahrq.gov/issue/informatics-confronts-drug-drug-interactions
Discussing drug–drug interactions (DDIs)…
-
psnet.ahrq.gov/node/37234/psn-pdf
December 15, 2011 - No safety, no quality: synthesis of research on hospital
and patient safety (1996-2007).
December 15, 2011
Tzeng H-M, Yin C-Y. No safety, no quality: synthesis of research on hospital and patient safety (1996-
2007). J Nurs Care Qual. 2007;22(4):299-306.
https://psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-…
-
psnet.ahrq.gov/node/38384/psn-pdf
February 04, 2009 - Putting Patients First: Best Practices in Patient-Centered
Care. Second Edition.
February 4, 2009
Frampton SB, Charmel PA, eds. San Francisco, CA: Jossey-Bass; 2009. ISBN: 9780470377024.
https://psnet.ahrq.gov/issue/putting-patients-first-best-practices-patient-centered-care-2nd-ed
This book explains the fundament…
-
psnet.ahrq.gov/node/36974/psn-pdf
February 05, 2014 - Measuring safety culture in healthcare: a case for
accurate diagnosis.
February 5, 2014
Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6).
doi:10.1016/j.ssci.2007.04.003.
https://psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
The a…
-
psnet.ahrq.gov/node/865871/psn-pdf
May 15, 2024 - Delivery at an inadequate level of maternal care is
associated with severe maternal morbidity.
May 15, 2024
Osei-Poku GK, Prentice JC, Easter SR, et al. Delivery at an inadequate level of maternal care is associated
with severe maternal morbidity. Am J Obstet Gynecol. 2024;231(5):e1-546.e520.
doi:10.1016/j.ajog.20…
-
psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - Medical errors kill thousands of people each year. But are
hospitals getting any safer?
May 17, 2023
Weintraub K. USA Today. May 3, 2023.
https://psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
The semi-annual Leapfrog Hospital Safety Grades are recognized across…
-
psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - Leading causes of anesthesia-related liability claims in
ambulatory surgery centers.
October 6, 2021
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory
surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
November 03, 2015 - Study
Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.
Citation Text:
Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):…
-
psnet.ahrq.gov/issue/racial-disparities-frequency-patient-safety-events-results-national-medicare-patient-safety
December 18, 2014 - Study
Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.
Citation Text:
Metersky M, Hunt D, Kliman R, et al. Racial disparities in the frequency of patient safety events: results from the National Medicare …
-
psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - Study
Emerging Classic
Nurses' and patients' appraisals show patient safety in hospitals remains a concern.
Citation Text:
Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Mill…