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  1. Overriding of drug safety alerts in computerized physician order entry. | PSNet

    psnet.ahrq.gov/issue/overriding-drug-safety-alerts-computerized-physician-order-entry
    March 04, 2011 - Review Overriding of drug safety alerts in computerized physician order entry. Citation Text: van der Sijs H, Aarts J, Vulto A, et al. Overriding of drug safety alerts in computerized physician order entry. J Am Med Inform Assoc. 2006;13(2):138-47. Copy Citation Format: G…

  2. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
    September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

  3. Health apps and health policy: what is needed? | PSNet

    psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
    December 02, 2020 - Commentary Emerging Classic Health apps and health policy: what is needed? Citation Text: Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378. Copy Citation Format: …

  4. Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
    October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

  5. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

    psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
    October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

  6. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

    psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
    October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

  7. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet

    psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
    May 13, 2009 - Study Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …

  8. Educational strategy to reduce medication errors in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
    November 03, 2008 - Study Educational strategy to reduce medication errors in a neonatal intensive care unit. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…

  9. Reducing accidental extubation in neonates. | PSNet

    psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
    September 09, 2011 - Study Reducing accidental extubation in neonates. Citation Text: Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  10. Using incident reporting to improve patient safety: a conceptual model. | PSNet

    psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
    June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

  11. Evaluation of a nurse-led safety program in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
    June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…

  12. Structural racism and health inequities in the USA: evidence and interventions. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-health-inequities-usa-evidence-and-interventions
    December 17, 2020 - Commentary Structural racism and health inequities in the USA: evidence and interventions. Citation Text: Bailey ZD, Krieger N, Agénor M, et al. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453-1463. doi:10.1016/s0140-6736(17)30…

  13. Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
    September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

  14. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

    psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
    May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

  15. Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

    psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
    May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

  16. Medical malpractice claims by members of the uniformed services. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
    November 14, 2011 - Regulation Medical malpractice claims by members of the uniformed services. Citation Text: Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. Copy Cit…

  17. Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet

    psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
    September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Citation Text: Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…

  18. Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. | PSNet

    psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure
    May 05, 2021 - Study Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. Citation Text: Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. …

  19. The use of a checklist in a pediatric oncology clinic. | PSNet

    psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
    April 24, 2019 - Study The use of a checklist in a pediatric oncology clinic. Citation Text: McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. Copy Citation Format: DOI Google Sch…

  20. Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture | PSNet

    psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
    February 10, 2021 - Study Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture Citation Text: Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…
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