-
psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
June 14, 2023 - participating residents made 314 errors; the majority were technical errors (63%) and commission errors (69%; defined
-
psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
April 20, 2022 - in six residential care homes were receiving at least one potentially inappropriate medication, as defined
-
psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - Efforts to embed patient safety content into defined post-graduate medical curriculum face challenges
-
psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours
November 16, 2022 - hour regulations , many residency programs are shifting toward night-team systems where residents work defined
-
psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - label ; participants were asked to identify four medications, with and without the icon, from pre-defined
-
psnet.ahrq.gov/issue/flexibilization-science-cognitive-biases-and-covid-19-pandemic
October 26, 2022 - discusses the threat that the “flexibilization” of science has played during the COVID-19 pandemic, defined
-
psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Duplicate medication orders, defined as orders for two or more identical medications or same therapeutic
-
psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - complications or mortality in cardiac surgery patients when the attending surgeon was sleep deprived (defined
-
psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
October 27, 2021 - This single-site retrospective cohort found that vulnerable populations (defined by race/ethnicity, insurance
-
psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
June 15, 2022 - Patient safety in the home has not been well defined and there have been few studies of this setting.
-
psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-telemedicine-obstetrics-quality-and-safety
August 10, 2022 - provide services has grown substantially in recent years as safety profiles for the services are being defined
-
psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - The presence of trust, defined as a willingness to be vulnerable to others (e.g., an attending on rounds
-
psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
June 28, 2010 - The authors defined a set of indicators that evaluate the analysis of the event and the dissemination
-
psnet.ahrq.gov/node/837847/psn-pdf
August 17, 2022 - Defining and studying errors in surgical care: a
systematic review.
August 17, 2022
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic
review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
https://psnet.ahrq.gov/issue/defining-and-studying-err…
-
psnet.ahrq.gov/node/47445/psn-pdf
October 24, 2018 - Diagnostic error in the critically ill: defining the problem
and exploring next steps to advance intensive care unit
safety.
October 24, 2018
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring
Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
-
psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
February 17, 2011 - This survey of nearly 3000 US hospitals found that less than 2% had a fully functional EHR (defined as
-
psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
May 26, 2011 - This study discovered that higher pharmacy workload, defined as the number of prescriptions dispensed
-
psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
July 14, 2010 - The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as
-
psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-warning-labels
January 21, 2009 - The majority of the study population had low or marginal health literacy, defined as reading at an 8th
-
psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
December 21, 2017 - About 84% of parents made at least one dosing error, and 21% made at least one large error, defined as