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Automatic detection of omissions in medication lists. | PSNet

psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists

December 31, 2014 - Study Automatic detection of omissions in medication lists. Citation Text: Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. Copy Citation Format: DOI Googl…

Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. | PSNet

psnet.ahrq.gov/issue/practice-gaps-patient-safety-among-dermatology-residents-and-their-teachers-survey-study

August 19, 2009 - Study Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. Citation Text: Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JA…

Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia

January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. | PSNet

psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community

November 01, 2016 - Study Classic A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. Citation Text: Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …

Competence and certification of registered nurses and safety of patients in intensive care units. | PSNet

psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units

May 01, 2006 - Study Competence and certification of registered nurses and safety of patients in intensive care units. Citation Text: Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…

How often do physicians review medication charts on ward rounds? | PSNet

psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds

September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

A system safety approach to assessing risks in the sepsis treatment process. | PSNet

psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process

February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…

Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. | PSNet

psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm

July 02, 2014 - Study Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…

The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet

psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error

March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…

Work overload is related to increased risk of error during chemotherapy preparation. | PSNet

psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation

June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…

Making hospital care safer and better: the structure-process connection leading to adverse events. | PSNet

psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events

November 04, 2020 - Study Making hospital care safer and better: the structure-process connection leading to adverse events. Citation Text: El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. Copy Citation …

The exaggerated benefits of failure. | PSNet

psnet.ahrq.gov/issue/exaggerated-benefits-failure

November 09, 2022 - Study The exaggerated benefits of failure. Citation Text: Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet

psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety

March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience. | PSNet

psnet.ahrq.gov/issue/introduction-obstetric-specific-medical-emergency-team-obstetric-crises-implementation-and

October 19, 2022 - Study Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience. Citation Text: Gosman GG, Baldisseri MR, Stein KL, et al. Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experi…

Nonopioid directives: unintended consequences in the operating room. | PSNet

psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room

September 07, 2022 - Commentary Nonopioid directives: unintended consequences in the operating room. Citation Text: Bicket MC, Waljee JF, Hilliard P. Nonopioid directives: unintended consequences in the operating room. JAMA Health Forum. 2022;3(6):e221356. doi:10.1001/jamahealthforum.2022.1356. Copy Citati…

Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet

psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement

October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…

The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. | PSNet

psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational

June 14, 2023 - Review The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Citation Text: Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…

Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. | PSNet

psnet.ahrq.gov/issue/healthcare-utilizing-deliberate-discussion-linking-events-huddle-systematic-review

November 16, 2022 - Review Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. Citation Text: Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188. Copy Citation …

Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. | PSNet

psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety

October 19, 2022 - Study Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. Citation Text: Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate me…

Errors in the medication process: frequency, type, and potential clinical consequences. | PSNet

psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences

July 21, 2021 - Study Errors in the medication process: frequency, type, and potential clinical consequences. Citation Text: Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22. Copy Citation …

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