The PSNet Collection

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.

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Grissinger M. P T. 2018;43:645-666.

Although best practices that support safe and reliable medication therapy exist, they are not uniformly embedded in care delivery. This three-part series discusses medication safety risks and highlights topics such as wrong-patient orders, inadequate patient understanding of drug instructions, and poor lighting.

That's the way we do things around here! Your actions speak louder than words when it comes to patient safety.

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Grissinger M. P T. 2014;39:308-44.

Examining how safety culture influences behavior, this commentary describes a study that identified factors likely to affect clinician adoption of peers' professional or safety-related behaviors, including beliefs in the system approach, error disclosure, and risk reduction strategies.

'Inattentional blindness': what captures your attention?

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Grissinger M. P.T. 2012;37:542-555.

… and factors that contribute to attentiveness. … Grissinger M. 'Inattentional blindness': what captures your …

Physical environments that promote safe medication use.

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Grissinger M. PT. 2012;37:377-378.

This commentary discusses standards related to workspace design that can help address interruptions, noise, and other distractions to prevent medication errors.

Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.

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Simmons D, Phillips MS, Grissinger M, et al. Jt Comm J Qual Patient Saf. 2008;34:293-296, 245.

Based on reports received through numerous national organizations, this article provides public policy recommendations for preventing certain tubing misconnections.

Hold That Order

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WebM&M Case March 1, 2008

… specific instructions on when to resume the medication. … Matthew Grissinger, RPh … Director, Error Reporting Programs … ISBN: 1582120927. … Figure … Figure. Example Hold Order. … Matthew … Grissinger … Matthew Grissinger …

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