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  1. psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
    May 24, 2015 - Study Medication errors involving patient-controlled analgesia.   Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…
  2. psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
    October 19, 2022 - Study Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Citation Text: Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesth…
  3. psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
    December 23, 2020 - Review The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. Citation Text: Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic r…
  4. psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
    October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…
  5. psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
    July 19, 2023 - Study Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. Citation Text: Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
  6. psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
    February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …
  7. psnet.ahrq.gov/issue/incidence-preventability-and-consequences-adverse-events-older-people-results-retrospective
    March 03, 2011 - Study Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Citation Text: Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…
  8. psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies
    February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…
  9. psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
    February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…
  10. psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
    March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
    June 02, 2025 - Digestive Health Clinic, LLC: Slide Presentation 34 34 Digestive Health Clinic, LLC Idaho Endoscopy Center, LLC Erin Brown, RN Director of Nursing Services 35 35 Digestive Health Clinic (DHC) • State-of-the-art physician-owned outpatient healthcare facility • Provides for the comprehensive care o…
  12. psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study
    April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…
  13. psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
    May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…
  14. psnet.ahrq.gov/issue/what-do-parents-think-about-quality-and-safety-care-provided-hospitals-children-and-young
    September 06, 2023 - Study What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. Citation Text: Ong N, Lucien A, Long JC, et al. What do parents think about the quality and sa…
  15. psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
    November 09, 2016 - Study Pharmacists’ perceptions of error reporting systems. Citation Text: Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. Copy Citation Format: DOI Go…
  16. psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
    February 13, 2019 - Study The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. Citation Text: Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
  17. psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
    October 19, 2022 - Study Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. Citation Text: Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical inter…
  18. psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety
    April 23, 2014 - Study The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. Citation Text: van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the implementation of organizational…
  19. psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
    November 17, 2021 - Study A review of adverse event reports from emergency departments in the Veterans Health Administration. Citation Text: Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…
  20. psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
    June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…