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  1. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. | PSNet

    psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
    July 21, 2021 - Study A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. Citation Text: Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…

  2. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. | PSNet

    psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
    January 16, 2013 - Study Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Citation Text: Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…

  3. Development and validation of a taxonomy of adverse handover events in hospital settings. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
    March 05, 2014 - Study Development and validation of a taxonomy of adverse handover events in hospital settings. Citation Text: Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…

  4. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

    psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
    December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

  5. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. | PSNet

    psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
    January 17, 2024 - Study The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Citation Text: Ališić E, Krupić M, Alić J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 20…

  6. Improving resident physician participation in reporting patient safety and quality concerns. | PSNet

    psnet.ahrq.gov/issue/improving-resident-physician-participation-reporting-patient-safety-and-quality-concerns
    May 18, 2022 - Study Improving resident physician participation in reporting patient safety and quality concerns. Citation Text: Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.…

  7. "Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. | PSNet

    psnet.ahrq.gov/issue/thank-you-listening-exploratory-study-regarding-lived-experience-and-perception-medical
    January 29, 2020 - Study "Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. Citation Text: Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived Experience and Perce…

  8. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. | PSNet

    psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
    December 14, 2016 - Study Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. Citation Text: Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…

  9. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. | PSNet

    psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning
    September 08, 2021 - Study Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. Citation Text: Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence conce…

  10. Improving patient safety via automated laboratory-based adverse event grading. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
    October 19, 2022 - Study Improving patient safety via automated laboratory-based adverse event grading. Citation Text: Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…

  11. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. | PSNet

    psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
    June 18, 2008 - Study A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…

  12. Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
    August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Citation Text: Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…

  13. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
    October 19, 2022 - Review A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals. Citation Text: Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool f…

  14. Unintended adverse consequences of introducing electronic health records in residential aged care homes. | PSNet

    psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
    March 24, 2019 - Study Unintended adverse consequences of introducing electronic health records in residential aged care homes. Citation Text: Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…

  15. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
    May 20, 2020 - Study A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Citation Text: Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…

  16. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. | PSNet

    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
    January 14, 2011 - Study Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Citation Text: Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. …

  17. Disparities in patient safety voluntary event reporting: a scoping review. | PSNet

    psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
    November 16, 2022 - Review Disparities in patient safety voluntary event reporting: a scoping review. Citation Text: Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. Co…

  18. A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/survey-pharmacists-perception-work-environment-and-patient-safety-community-pharmacies-during
    June 23, 2009 - Study A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. Citation Text: Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work environment and patient safety in com…

  19. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist
    March 23, 2011 - Study Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Citation Text: de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:1…

  20. Case not closed: prescription errors 12 years after computerized physician order entry implementation. | PSNet

    psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry
    April 08, 2011 - Study Case not closed: prescription errors 12 years after computerized physician order entry implementation. Citation Text: Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;19…
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