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  1. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. | PSNet

    psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
    August 25, 2021 - Study Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. Citation Text: Gounder P, Beers R, Bornschlegel K, et al. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. J Clin Anesth. 2013;25(7)…

  2. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
    August 29, 2018 - Study Patient safety in dentistry—state of play as revealed by a national database of errors. Citation Text: Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669. C…

  3. A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. | PSNet

    psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
    November 01, 2016 - Study Classic A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. Citation Text: Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …

  4. The medical emergency team system: a two hospital comparison. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
    January 15, 2009 - Study The medical emergency team system: a two hospital comparison. Citation Text: Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016. Copy Citation Format: …

  5. Lessons learned: basic evidence-based advice for preventing medication errors in children. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
    December 22, 2008 - Commentary Lessons learned: basic evidence-based advice for preventing medication errors in children. Citation Text: Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…

  6. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. | PSNet

    psnet.ahrq.gov/issue/principles-patient-and-family-partnership-care-american-college-physicians-position-paper
    March 14, 2018 - Commentary Emerging Classic Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Citation Text: Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American Colle…

  7. Implementation of computerized prescriber order entry in four academic medical centers. | PSNet

    psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers
    May 18, 2022 - Commentary Implementation of computerized prescriber order entry in four academic medical centers. Citation Text: Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…

  8. Using pharmacists to optimize patient outcomes and costs in the ED. | PSNet

    psnet.ahrq.gov/issue/using-pharmacists-optimize-patient-outcomes-and-costs-ed
    October 13, 2015 - Review Using pharmacists to optimize patient outcomes and costs in the ED. Citation Text: Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. Copy Citation For…

  9. How should medication errors be defined? Development and test of a definition. | PSNet

    psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
    June 27, 2011 - Study How should medication errors be defined? Development and test of a definition. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…

  10. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet

    psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
    February 27, 2019 - Study Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Citation Text: Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…

  11. Medication errors associated with transition from insulin pens to insulin vials. | PSNet

    psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials
    May 29, 2019 - Study Medication errors associated with transition from insulin pens to insulin vials. Citation Text: Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. Copy C…

  12. Computer physician order entry: benefits, costs, and issues. | PSNet

    psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
    May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  13. Patient safety indicators for judging hospital performance: still not ready for prime time. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-judging-hospital-performance-still-not-ready-prime-time
    December 22, 2021 - Study Patient safety indicators for judging hospital performance: still not ready for prime time. Citation Text: Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782. Co…

  14. Making hospital care safer and better: the structure-process connection leading to adverse events. | PSNet

    psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
    November 04, 2020 - Study Making hospital care safer and better: the structure-process connection leading to adverse events. Citation Text: El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. Copy Citation …

  15. New unintended adverse consequences of electronic health records. | PSNet

    psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records
    March 20, 2019 - Review New unintended adverse consequences of electronic health records. Citation Text: Sittig DF, Wright A, Ash J, et al. New Unintended Adverse Consequences of Electronic Health Records. Yearb Med Inform. 2016;(1):7-12. Copy Citation Format: Google Scholar PubMed BibTeX E…

  16. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

    psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

  17. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. | PSNet

    psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
    October 03, 2013 - Study A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Citation Text: Rivera J. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Appl Ergon. 2014;45(3):747-56. doi:10.1016/…

  18. Improving quality through effective implementation of information technology in healthcare. | PSNet

    psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
    October 17, 2016 - Study Improving quality through effective implementation of information technology in healthcare. Citation Text: Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…

  19. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
    December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

  20. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …
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