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Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. | PSNet

psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three

October 23, 2018 - Study Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. Citation Text: Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…

Contextual errors and failures in individualizing patient care: a multicenter study. | PSNet

psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study

October 29, 2012 - Study Classic Contextual errors and failures in individualizing patient care: a multicenter study. Citation Text: Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…

Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet

psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs

October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. | PSNet

psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health

February 02, 2011 - Study Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. Citation Text: Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …

Structural racism--a 60-year-old black woman with breast cancer. | PSNet

psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer

December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…

Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. | PSNet

psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study

March 06, 2012 - Study Emerging Classic Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. Citation Text: Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementi…

Detecting unapproved abbreviations in the electronic medical record. | PSNet

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August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Interprofessional team collaboration and work environment health in 68 US intensive care units. | PSNet

psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-intensive-care-units

November 10, 2021 - Study Interprofessional team collaboration and work environment health in 68 US intensive care units. Citation Text: Pun BT, Jun J, Tan A, et al. Interprofessional team collaboration and work environment health in 68 US intensive care units. Am J Crit Care. 2022;31(6):443-451. doi:10.403…

Patient feedback for safety improvement in primary care: results from a feasibility study. | PSNet

psnet.ahrq.gov/issue/patient-feedback-safety-improvement-primary-care-results-feasibility-study

December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

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January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice

April 21, 2021 - Study Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. Citation Text: Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents: consequences for clinical pract…

Multifaceted interventions improve adherence to the surgical checklist. | PSNet

psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist

November 07, 2012 - Study Multifaceted interventions improve adherence to the surgical checklist. Citation Text: Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. Copy Citation Forma…

Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. | PSNet

psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial

May 20, 2019 - Study Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. Citation Text: Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Elect…

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? | PSNet

psnet.ahrq.gov/issue/current-teaching-and-evaluation-methods-critical-care-medicine-has-accreditation-council

February 23, 2022 - Study Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? Citation Text: Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods…

Adverse health events related to self-medication practices among elderly: a systematic review. | PSNet

psnet.ahrq.gov/issue/adverse-health-events-related-self-medication-practices-among-elderly-systematic-review

June 15, 2022 - Review Adverse health events related to self-medication practices among elderly: a systematic review. Citation Text: Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:1…

An epistemology of patient safety research: a framework for study design and interpretation. | PSNet

psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation

February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…

Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement

June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…

Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. | PSNet

psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion

December 14, 2022 - Study Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. Citation Text: Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of …

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm

January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet

psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis

August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …

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