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Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. | PSNet

psnet.ahrq.gov/issue/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-patient-tips

November 28, 2016 - Study Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. Citation Text: Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…

Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. Citation Text: Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…

Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet

psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization

February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. | PSNet

psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals

November 05, 2008 - Study Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Citation Text: Clement JP, Lindrooth R, Chukmaitov AS, et al. Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Med Care. 2007;45(2):131-8. Copy Citat…

Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. | PSNet

psnet.ahrq.gov/issue/drug-manufacturers-delayed-disclosure-serious-and-unexpected-adverse-events-us-food-and-drug

July 10, 2017 - Study Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. Citation Text: Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Adminis…

Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. | PSNet

psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging

August 04, 2015 - Study Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. Citation Text: Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…

Developing agreement on never events in primary care dentistry: an international eDelphi study. | PSNet

psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study

October 05, 2016 - Study Developing agreement on never events in primary care dentistry: an international eDelphi study. Citation Text: Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;2…

The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. | PSNet

psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential

October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…

Competition and health plan performance: evidence from health maintenance organization insurance markets. | PSNet

psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance

July 14, 2009 - Study Competition and health plan performance: evidence from health maintenance organization insurance markets. Citation Text: Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…

Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. | PSNet

psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation

February 12, 2020 - Study Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. Citation Text: Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…

Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. | PSNet

psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning

September 08, 2021 - Study Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. Citation Text: Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence conce…

Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. | PSNet

psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136

January 08, 2016 - Study Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. Citation Text: Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. | PSNet

psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods-improve-accuracy-and

September 23, 2020 - Commentary Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. Citation Text: Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…

Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. | PSNet

psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture

June 07, 2016 - Study Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. Citation Text: Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety culture: an unbalanced panel study. BMJ Le…

Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet

psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety

November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. | PSNet

psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve

May 21, 2009 - Study Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. Citation Text: Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …

Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet

psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or

February 12, 2020 - Study Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. Citation Text: Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …

Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist

March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

Missed nursing care in emergency departments: a scoping review. | PSNet

psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review

November 03, 2021 - Review Missed nursing care in emergency departments: a scoping review. Citation Text: Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. Copy Citation Format: …

The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. | PSNet

psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled

March 04, 2011 - Study The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. Citation Text: Nguyen H-T, Pham H-T, Vo D-K, et al. The effect of a clinical pharmacist-led training programme on intravenous medication errors: a cont…

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