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  1. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

    psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
    June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

  2. 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…

  3. Saving Patient Ryan- can advanced electronic medical records make patient care safer? | PSNet

    psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
    February 11, 2014 - Study Saving Patient Ryan- can advanced electronic medical records make patient care safer? Citation Text: Saving Patient Ryan- can advanced electronic medical records make patient care safer? Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059. Copy Citation …

  4. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. | PSNet

    psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians
    July 20, 2022 - Study Secure messaging use and wrong-patient ordering errors among inpatient clinicians. Citation Text: Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47…

  5. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
    February 19, 2014 - Review Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Citation Text: Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl)…

  6. The role of continuous quality improvement and psychological safety in predicting work-arounds. | PSNet

    psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
    July 31, 2008 - Study The role of continuous quality improvement and psychological safety in predicting work-arounds. Citation Text: Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…

  7. Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet

    psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
    May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…

  8. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
    September 23, 2020 - Commentary Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. Citation Text: Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …

  9. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. | PSNet

    psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
    October 04, 2011 - Study Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Citation Text: Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …

  10. Systematic evaluation of errors occurring during the preparation of intravenous medication. | PSNet

    psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
    October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…

  11. Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

    psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
    March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

  12. 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…

  13. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
    December 22, 2018 - Book/Report Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. Citation Text: Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…

  14. Using simulation to identify sources of medical diagnostic error in child physical abuse. | PSNet

    psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
    January 12, 2022 - Study Using simulation to identify sources of medical diagnostic error in child physical abuse. Citation Text: Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…

  15. Implementing patient safety practices in small ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
    April 19, 2013 - Study Implementing patient safety practices in small ambulatory care settings. Citation Text: Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. Copy Citation Format: Google Sc…

  16. 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. …

  17. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. | PSNet

    psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis
    July 08, 2020 - Study Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. Citation Text: Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…

  18. Iatrogenesis in the context of residential dementia care: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
    August 17, 2022 - Commentary Iatrogenesis in the context of residential dementia care: a concept analysis. Citation Text: Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. Copy Citati…

  19. Impact of intensive care unit discharge time on patient outcome. | PSNet

    psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
    December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  20. Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet

    psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
    September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…
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