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  1. Educational strategy to reduce medication errors in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
    November 03, 2008 - Study Educational strategy to reduce medication errors in a neonatal intensive care unit. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…

  2. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. | PSNet

    psnet.ahrq.gov/issue/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals
    December 12, 2014 - Study From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. Citation Text: Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qua…

  3. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. | PSNet

    psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
    March 09, 2022 - Study Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Citation Text: Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…

  4. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. | PSNet

    psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
    January 30, 2019 - Newspaper/Magazine Article A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. Citation Text: Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…

  5. Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
    September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

  6. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  7. Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. | PSNet

    psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
    September 29, 2010 - Study Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. Citation Text: Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…

  8. Health information technology and patient safety: evidence from panel data. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
    February 23, 2011 - Study Health information technology and patient safety: evidence from panel data. Citation Text: Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. Copy Citation…

  9. Patient safety teams recognised at BMJ awards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
    October 19, 2022 - Press Release/Announcement Patient safety teams recognised at BMJ awards. Citation Text: Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1). doi:10.1136/bmj.g2404. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  10. Radiologist age and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
    March 02, 2022 - Study Radiologist age and diagnostic errors. Citation Text: Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

  11. Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

    psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual
    March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

  12. Anatomy of a patient safety event: a pediatric patient safety taxonomy. | PSNet

    psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy
    May 18, 2022 - Study Anatomy of a patient safety event: a pediatric patient safety taxonomy. Citation Text: Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7. Copy Citation Format: Google …

  13. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

    psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
    September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. Citation Text: Imfeld K, Keith M, Stoyanoff L, et al. Diet order entry by registered dietitians results in a reduction in error rates and time …

  14. Common patterns in 558 diagnostic radiology errors. | PSNet

    psnet.ahrq.gov/issue/common-patterns-558-diagnostic-radiology-errors
    July 19, 2023 - Study Common patterns in 558 diagnostic radiology errors. Citation Text: Donald JJ, Barnard SA. Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol. 2012;56(2):173-178. doi:10.1111/j.1754-9485.2012.02348.x. Copy Citation Format: DOI Google Schol…

  15. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet

    psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
    November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

  16. Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet

    psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
    September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Citation Text: Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…

  17. Hospital readmissions: physician awareness and communication practices. | PSNet

    psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
    December 19, 2009 - Study Classic Hospital readmissions: physician awareness and communication practices. Citation Text: Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…

  18. Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

    psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
    July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

  19. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
    September 18, 2024 - Organizational Policy/Guidelines Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Citation Text: Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…

  20. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
    November 18, 2009 - Study Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Citation Text: Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. Copy Citation Form…
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