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  1. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

    psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
    August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

  2. Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. | PSNet

    psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous
    July 27, 2022 - Study Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. Citation Text: Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints…

  3. Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
    February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

  4. The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care
    November 16, 2022 - Study The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. Citation Text: Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family In…

  5. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  6. A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

    psnet.ahrq.gov/issue/comprehensive-departmental-care-review-model-requirements-structure-and-flow
    July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

  7. Adverse Events in Anesthesia: An Integrative Review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
    October 16, 2024 - Review Adverse Events in Anesthesia: An Integrative Review. Citation Text: Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005. Copy Citation Format: DOI Google Scholar Pub…

  8. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health
    March 25, 2020 - Study Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. Citation Text: Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…

  9. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
    September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…

  10. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet

    psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
    June 16, 2021 - Study Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. Citation Text: Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 201…

  11. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review. | PSNet

    psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
    October 21, 2020 - Review Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review. Citation Text: Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…

  12. "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. | PSNet

    psnet.ahrq.gov/issue/time-essence-relationship-between-hospital-staff-perceptions-time-safety-attitudes-and-staff
    September 01, 2021 - Study "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. Citation Text: Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff …

  13. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet

    psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
    March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Citation Text: Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …

  14. Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
    January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

  15. Evaluating the medication process in the context of CPOE use: the significance of working around the system. | PSNet

    psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
    February 23, 2009 - Study Evaluating the medication process in the context of CPOE use: the significance of working around the system. Citation Text: Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system.…

  16. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
    April 17, 2013 - Study The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. Citation Text: Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patte…

  17. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. | PSNet

    psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
    May 04, 2012 - Study Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Citation Text: Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10…

  18. Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. | PSNet

    psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
    October 19, 2022 - Study Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. Citation Text: Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…

  19. Patient safety near misses – still missing opportunities to learn. | PSNet

    psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn
    July 10, 2024 - Study Patient safety near misses – still missing opportunities to learn. Citation Text: Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. Copy Citation …

  20. Digital health intervention on patient safety for children and parents: a scoping review. | PSNet

    psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
    January 23, 2017 - Review Digital health intervention on patient safety for children and parents: a scoping review. Citation Text: Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954. Co…
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