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  1. Strategies to reduce diagnostic errors: a systematic review | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
    February 02, 2022 - Review Strategies to reduce diagnostic errors: a systematic review Citation Text: Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1. Copy Citation …

  2. 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 …

  3. Trends influencing the cost of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/trends-influencing-cost-care-and-patient-safety
    September 25, 2024 - Newspaper/Magazine Article Trends influencing the cost of care and patient safety. Citation Text: Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):1…

  4. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet

    psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
    January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

  5. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. | PSNet

    psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
    May 18, 2011 - Study Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. Citation Text: Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…

  6. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  7. Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. | PSNet

    psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
    December 15, 2021 - Study Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. Citation Text: Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…

  8. "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. | PSNet

    psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
    January 22, 2016 - Study "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. Citation Text: O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…

  9. The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet

    psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
    September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

  10. A model of disruptive surgeon behavior in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
    February 05, 2020 - Study A model of disruptive surgeon behavior in the perioperative environment. Citation Text: Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. Copy Citation Format…

  11. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet

    psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
    March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…

  12. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required
    June 08, 2022 - Study Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Citation Text: Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. Co…

  13. Using the internet to deliver education on drug safety. | PSNet

    psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
    March 23, 2011 - Study Using the internet to deliver education on drug safety. Citation Text: Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  14. Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

    psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions
    February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

  15. Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. | PSNet

    psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
    September 28, 2016 - Study Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. Citation Text: Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…

  16. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. | PSNet

    psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
    June 25, 2014 - Study Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. Citation Text: Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…

  17. Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration
    September 12, 2016 - Study Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. Citation Text: Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a…

  18. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

    psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
    July 06, 2011 - Study Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Citation Text: Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…

  19. An experimental study in nurse-physician relationships. | PSNet

    psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
    July 14, 2010 - Study Classic An experimental study in nurse-physician relationships. Citation Text: Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80. Copy Citation Format: Go…

  20. Rapid response systems: identification and management of the "prearrest state." | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
    May 18, 2022 - Review Rapid response systems: identification and management of the "prearrest state." Citation Text: McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. Copy Ci…
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