- 
                                        
psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - a family medicine clinic reported a medication allergy history different
from that recorded in the chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/867757/psn-pdf
March 12, 2025 - Improving medication-related safety for residents in
nursing homes: a qualitative study.
March 12, 2025
Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a
qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-20250102-03.
https://psnet.ahrq.g… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/37672/psn-pdf
April 09, 2008 - https://psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
Chart review
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/854629/psn-pdf
October 18, 2023 - workflow)
negatively impacted patient safety such as documentation or orders placed on the wrong patient chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/37669/psn-pdf
June 29, 2011 - detection-and-prevention-medication-misadventures-general-practice
In this study conducted in outpatient primary care clinics, chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/46067/psn-pdf
January 01, 2021 - review identified multiple methods to measure patient safety in primary care, including staff
surveys, chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - The resident placed a note in the chart to
document the discussion. … be free from coercion.(5) The physician who discusses code status with the patient should
enter a chart … An
inexperienced resident may have assumed that nursing staff would act on his chart note without an … clinical decisions made
with the patient at the bedside are communicated to others and the medical chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/37584/psn-pdf
March 05, 2008 - This study
describes the types of prescribing errors discovered through retrospective chart review and
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/43513/psn-pdf
September 10, 2014 - https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - Then we made a chart of ideas around all latent conditions and adverse events: medication errors, noise … We
included these listings in our chart to improve safety and understand how much they would cost. … There were also alcoves where people can chart immediately about the patients' conditions. … non-academic health center where you know caregivers are rounding, they should have a
place where they can chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/40517/psn-pdf
June 08, 2011 - learning-safe-prescribing-during-post-take-ward-rounds
This article describes how a rounds-based medication chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/34823/psn-pdf
April 06, 2011 - https://psnet.ahrq.gov/issue/use-medical-emergency-team-met-responses-detect-medical-errors
Through chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/42546/psn-pdf
October 02, 2013 - compared seven distinct methods of identifying medication errors in hospitalized
patients—including chart
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/43180/psn-pdf
August 12, 2014 - 'Between the flags': implementing a rapid response
system at scale.
August 12, 2014
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale.
BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
https://psnet.ahrq.gov/issue/between-flags-implementing-rapi… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/48118/psn-pdf
August 21, 2019 - perspective/ehr-copy-and-paste-and-patient-safety
https://psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - This retrospective chart review
examined communication among staff members before and after implementation
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/73463/psn-pdf
July 07, 2021 - Structural racism and the COVID-19 experience in the
United States.
July 7, 2021
Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United
States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031.
https://psnet.ahrq.gov/issue/structural-racism-and-covid-19-e… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/865589/psn-pdf
April 17, 2024 - Why talking is not cheap: adverse events and informal
communication.
April 17, 2024
Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal
communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635.
https://psnet.ahrq.gov/issue/why-talking-not-cheap-adver… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/38599/psn-pdf
May 06, 2009 - safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-
adverse-events
Retrospective chart