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  1. Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods-improve-accuracy-and
    September 23, 2020 - Commentary Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. Citation Text: Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…

  2. Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
    September 29, 2021 - Review Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. Citation Text: Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systema…

  3. Assessing nourishment problems at a hospital: what can we learn from them? | PSNet

    psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
    January 08, 2025 - Study Assessing nourishment problems at a hospital: what can we learn from them? Citation Text: Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745. C…

  4. Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet

    psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
    February 16, 2022 - Study Learning in radiation oncology: 12-month experience with a new incident learning system. Citation Text: Crouch K, Adamson L, Beldham‐Collins R, et al. Learning in radiation oncology: 12‐month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10…

  5. Evaluation of a physician informatics tool to improve patient handoffs. | PSNet

    psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
    January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. Citation Text: Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. Copy C…

  6. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

    psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
    June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

  7. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. | PSNet

    psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating
    January 02, 2017 - Study A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Citation Text: Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidiscipli…

  8. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
    August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

  9. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. | PSNet

    psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
    October 03, 2011 - Study Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Citation Text: Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…

  10. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta
    March 16, 2022 - Review Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Citation Text: Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…

  11. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta
    October 19, 2022 - Review Classic Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Citation Text: Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…

  12. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet

    psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
    March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. Citation Text: de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…

  13. Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study. | PSNet

    psnet.ahrq.gov/issue/oncology-nurses-beliefs-and-attitudes-towards-double-check-chemotherapy-medications-cross
    September 07, 2016 - Study Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study. Citation Text: Schwappach DLB, Taxis K, Pfeiffer Y. Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sect…

  14. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. | PSNet

    psnet.ahrq.gov/issue/medication-double-checking-procedures-clinical-practice-cross-sectional-survey-oncology
    March 21, 2018 - Study Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. Citation Text: Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experie…

  15. Risk factors for wrong-patient medication orders in the emergency department. | PSNet

    psnet.ahrq.gov/issue/risk-factors-wrong-patient-medication-orders-emergency-department
    June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…

  16. Does applying technology throughout the medication use process improve patient safety with antineoplastics? | PSNet

    psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
    October 30, 2024 - Review Does applying technology throughout the medication use process improve patient safety with antineoplastics? Citation Text: Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…

  17. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? | PSNet

    psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
    September 23, 2020 - Study Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? Citation Text: Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…

  18. Drug administration errors and their determinants in pediatric in-patients. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-and-their-determinants-pediatric-patients
    June 29, 2011 - Study Drug administration errors and their determinants in pediatric in-patients. Citation Text: Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/in…

  19. Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet

    psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
    March 17, 2021 - Study Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. Citation Text: Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. …

  20. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. | PSNet

    psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten
    December 20, 2023 - Study High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. Citation Text: Hartel MJ, Staub LP, Röder C, et al. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten …
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