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821. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet
     psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients
     July 16, 2015 - September 27, 2017 Comparing the outcomes of reporting and trigger tool methods to capture

822. A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. | PSNet
     psnet.ahrq.gov/issue/qualitative-study-patient-involvement-medicines-management-after-hospital-discharge-under
     August 03, 2011 - August 2, 2017 How might health services capture patient-reported safety concerns in

823. Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
     psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
     January 09, 2019 - September 20, 2011 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm

824. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. | PSNet
     psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
     April 08, 2008 - Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture

825. Engaging patients as vigilant partners in safety: a systematic review. | PSNet
     psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
     February 06, 2019 - December 3, 2014 Automated capture of intraoperative adverse events using artificial

826. Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet
     psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
     November 23, 2016 - 2016 The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture

827. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records | PSNet
     psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
     May 26, 2021 - ” systems can use microphones in clinical care areas and perform both speech recognition and NLP to capture … AI tools to help capture documentation (based on speech recognition and natural language processing)

828. Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. | PSNet
     psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
     September 04, 2013 - April 22, 2012 How might health services capture patient-reported safety concerns in

829. Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. | PSNet
     psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
     July 21, 2017 - August 2, 2017 How might health services capture patient-reported safety concerns in

830. What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. | PSNet
     psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre
     July 21, 2017 - June 25, 2014 How might health services capture patient-reported safety concerns in a

831. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet
     psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
     April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

832. Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet
     psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
     October 15, 2014 - Study Classic Medication error prevention by clinical pharmacists in two children's hospitals. Citation Text: Medication error prevention by clinical pharmacists in two children's hospitals. Folli HL; Poole RL; Benitz WE; Russo JC Copy Citation …

833. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36319/psn-pdf
     August 05, 2008 - Selling soap. August 5, 2008 Dubner SJ; Levitt SD. https://psnet.ahrq.gov/issue/selling-soap This article discusses physician noncompliance with hand hygiene recommendations and describes several low-tech interventions, including a screensaver showing germs captured in a Petri dish off a physician's "clean" hands…

834. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36911/psn-pdf
     September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…

835. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40908/psn-pdf
     December 08, 2011 - Patients' identification and reporting of unsafe events at six hospitals in Japan. December 8, 2011 Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. https://psnet.ahrq.gov/issue/patients-identifi…

836. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39725/psn-pdf
     August 11, 2010 - The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. August 11, 2010 Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659. https://psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us This book explores inattentional blindness, as demonstrated in …

837. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34790/psn-pdf
     December 23, 2008 - Cognitive errors in diagnosis: instantiation, classification, and consequences. December 23, 2008 Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classificati…

838. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34954/psn-pdf
     June 23, 2009 - Active surveillance of vaccine safety: a system to detect early signs of adverse events. June 23, 2009 Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. https://psnet.ahrq.gov/issue/active-surveillance-vacc…

839. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34805/psn-pdf
     November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…

840. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36671/psn-pdf
     January 18, 2011 - Increasing vigilance on the medical/surgical floor to improve patient safety. January 18, 2011 Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. https://psnet.ahrq.gov/issue/increasing-vigilance-m…