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psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry
May 05, 2014 - Study
Potential medication errors associated with computer prescriber order entry.
Citation Text:
Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2. …
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psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
August 04, 2021 - Study
Medical errors in orthopaedics. Results of an AAOS member survey.
Citation Text:
Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439.
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/office-based-physicians-are-responding-incentives-and-assistance-adopting-and-using
August 07, 2013 - Study
Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.
Citation Text:
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health record…
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psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
December 01, 2010 - Study
Self-reported violations during medication administration in two paediatric hospitals.
Citation Text:
Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-…
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psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics
September 13, 2017 - Commentary
Antibiotic shortages in pediatrics.
Citation Text:
Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858.
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psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
December 27, 2014 - Commentary
Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.
Citation Text:
Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …
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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - Study
"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.
Citation Text:
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…
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psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
October 04, 2023 - Study
Mistreatment in health care among women in Appalachia.
Citation Text:
Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547.
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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - Study
Diagnostic errors in hospitalized adults who died or were transferred to intensive care.
Citation Text:
Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…
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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard
October 04, 2023 - Commentary
Texting while doctoring: a patient safety hazard.
Citation Text:
Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012.
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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - Study
An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.
Citation Text:
Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…
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psnet.ahrq.gov/issue/physician-burnout-and-medical-errors-exploring-relationship-cost-and-solutions-received
April 12, 2023 - Review
Physician burnout and medical errors: exploring the relationship, cost, and solutions received.
Citation Text:
Li CJ, Shah YB, Harness ED, et al. Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Am J Med Qual. 2023;38(4):196-202. doi:…
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psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
November 16, 2011 - Study
Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].
Citation Text:
Baxter AD, Allan J, Bedard J, et al. Adherence to…
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psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability
June 15, 2011 - Study
Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.
Citation Text:
Hutchinson A, Cooper KL, Dean JE, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care…
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psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system
December 15, 2021 - Study
Race differences in a malpractice event database in a large healthcare system.
Citation Text:
Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090.
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psnet.ahrq.gov/issue/instituting-culture-professionalism-establishment-center-professionalism-and-peer-support
March 03, 2011 - Commentary
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.
Citation Text:
Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm …
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psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study
July 10, 2013 - Study
A new perspective on blame culture: an experimental study.
Citation Text:
Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x.
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psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital
July 22, 2020 - Commentary
Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital.
Citation Text:
Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. …