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Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet

psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow

January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. Citation Text: Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…

Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. | PSNet

psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks

March 16, 2016 - Study Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. Citation Text: Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. | PSNet

psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen

December 03, 2014 - Study The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. Citation Text: Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical …

Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/impact-rounding-checklists-outcomes-patients-admitted-icus-systematic-review-and-meta

July 03, 2016 - Review Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. Citation Text: MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-a…

New persistent opioid use after postoperative intensive care in US veterans. | PSNet

psnet.ahrq.gov/issue/new-persistent-opioid-use-after-postoperative-intensive-care-us-veterans

July 10, 2024 - Study New persistent opioid use after postoperative intensive care in US veterans. Citation Text: Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899. Copy …

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial

January 18, 2011 - Study Classic Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Citation Text: Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. | PSNet

psnet.ahrq.gov/issue/teamstepps-improving-diagnosis-team-assessment-tool-scale-development-and-psychometric

January 22, 2025 - Study The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Citation Text: Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J …

How physicians think: a case-based diagnostic simulation exercise. | PSNet

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August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. Citation Text: Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. Copy Citation …

A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. | PSNet

psnet.ahrq.gov/issue/do-no-harm-novel-safety-checklist-and-research-approach-determine-whether-launch-artificial

September 23, 2020 - Commentary A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. Citation Text: Khan WU, Seto E. "Do No Harm" novel s…

The potential of artificial intelligence to improve patient safety: a scoping review. | PSNet

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March 09, 2022 - Review Classic The potential of artificial intelligence to improve patient safety: a scoping review. Citation Text: Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021…

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year

August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-home-interviews-and-electronic-medical-records-regularly-used-drugs

May 25, 2022 - Study Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. Citation Text: Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home…

Preventability of hospital-acquired venous thromboembolism. | PSNet

psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism

December 21, 2014 - Study Classic Preventability of hospital-acquired venous thromboembolism. Citation Text: Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340. Copy Citation …

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true

February 25, 2009 - Study From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. Citation Text: Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006

April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. | PSNet

psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential

October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event

July 07, 2021 - Study Identifying health information technology related safety event reports from patient safety event report databases. Citation Text: Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …

Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related

October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical

March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. Citation Text: English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …

Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet

psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response

May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and the coordinated response. Citation Text: Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…

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