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Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. | PSNet

psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care

November 18, 2020 - Study Classic Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Citation Text: Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…

Electronic health record–related events in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims

April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet

psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record

May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized

December 07, 2016 - Study Classic Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. Citation Text: Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation…

Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet

psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical

September 29, 2018 - Study Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. Citation Text: Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…

Fatigue and safety in paramedicine. | PSNet

psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine

December 16, 2020 - Study Fatigue and safety in paramedicine. Citation Text: Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765. doi:10.1017/cem.2019.380. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. | PSNet

psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter

December 01, 2021 - Study Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Citation Text: Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6…

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. | PSNet

psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients

September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…

Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet

psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and

September 02, 2020 - Study Registration-associated patient misidentification in an academic medical center: causes and corrections. Citation Text: Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…

Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. | PSNet

psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems

June 13, 2018 - Review Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. Citation Text: Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inf…

Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. | PSNet

psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care

July 28, 2014 - Study Classic Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. Citation Text: Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N E…

A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet

psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit

August 02, 2011 - Study A new safety event reporting system improves physician reporting in the surgical intensive care unit. Citation Text: Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. | PSNet

psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study

March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…

Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. | PSNet

psnet.ahrq.gov/issue/factors-influencing-medication-errors-prehospital-paramedic-environment-mixed-method

August 25, 2021 - Review Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Citation Text: Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. …

A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi

July 24, 2024 - Study A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. Citation Text: Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration error…

Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve

March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

A resilience view on health system resilience: a scoping review of empirical studies and reviews. | PSNet

psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews

March 11, 2013 - Review A resilience view on health system resilience: a scoping review of empirical studies and reviews. Citation Text: Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Serv Res.…

"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet

psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention

September 24, 2017 - Study "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-c…

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals

March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…

Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase

April 24, 2019 - Study Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. Citation Text: Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…

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