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Improving patient safety: effects of a safety program on performance and culture in a department of radiology. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology

May 12, 2010 - Study Improving patient safety: effects of a safety program on performance and culture in a department of radiology. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiolo…

Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet

psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance

April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. | PSNet

psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling-differences

November 12, 2014 - Study Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. Citation Text: Gallego B, Westbrook MT, Dunn AG, et al. Investigating patient safety culture across a health system: multilevel mod…

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and

December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet

psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes

March 24, 2011 - Study Online medication error graphic reports: a pilot in North Carolina nursing homes. Citation Text: Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…

A randomized controlled trial on the effect of a double check on the detection of medication errors. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-effect-double-check-detection-medication-errors

June 07, 2016 - Study A randomized controlled trial on the effect of a double check on the detection of medication errors. Citation Text: Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):…

The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. | PSNet

psnet.ahrq.gov/issue/response-appd-cops-and-aap-institute-medicine-report-resident-duty-hours

November 12, 2014 - Commentary The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Citation Text: Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4…

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. | PSNet

psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care

June 28, 2010 - Study Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. Citation Text: Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…

Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. | PSNet

psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports

December 29, 2014 - Study Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. Citation Text: Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …

Time out—charting a path for improving performance measurement. | PSNet

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March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

Organizational costs of preventable medical errors. | PSNet

psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors

April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach

August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…

Improving patient safety in radiology: concepts for a comprehensive patient safety program. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-radiology-concepts-comprehensive-patient-safety-program

December 14, 2016 - Commentary Improving patient safety in radiology: concepts for a comprehensive patient safety program. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010…

Patient safety in an interprofessional learning environment. | PSNet

psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment

May 30, 2008 - Commentary Patient safety in an interprofessional learning environment. Citation Text: Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Advising patients about patient safety: current initiatives risk shifting responsibility. | PSNet

psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility

May 20, 2015 - Commentary Advising patients about patient safety: current initiatives risk shifting responsibility. Citation Text: Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494.…

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. | PSNet

psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education

February 17, 2011 - Commentary Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. Citation Text: Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. …

The Limits of Safety: Organizations, Accidents and Nuclear Weapons. | PSNet

psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons

July 28, 2013 - Book/Report Classic The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Citation Text: The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214. Copy Cit…

Facing ambiguous threats. | PSNet

psnet.ahrq.gov/issue/facing-ambiguous-threats

December 24, 2008 - Commentary Facing ambiguous threats. Citation Text: Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet

psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis

December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

The source of purchased medications and its impact on medication mistakes and hospitalizations. | PSNet

psnet.ahrq.gov/issue/source-purchased-medications-and-its-impact-medication-mistakes-and-hospitalizations

March 11, 2020 - Study The source of purchased medications and its impact on medication mistakes and hospitalizations. Citation Text: Coates MC, Granche J, Sefcik JS, et al. The source of purchased medications and its impact on medication mistakes and hospitalizations. Res Gerontol Nurs. 2022;15(2):69-75…

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