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Medication errors in the home: a multisite study of children with cancer. | PSNet

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October 19, 2022 - Study Medication errors in the home: a multisite study of children with cancer. Citation Text: Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434. Copy Citation…

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. | PSNet

psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid-19

June 29, 2022 - Study Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Citation Text: Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Re…

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

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March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. | PSNet

psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care

June 01, 2022 - Study Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. Citation Text: Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. | PSNet

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August 02, 2010 - Study Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. Citation Text: Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? | PSNet

psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns

April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…

Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. | PSNet

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June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…

Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review

October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

The relationship between organizational leadership for safety and learning from patient safety events. | PSNet

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November 27, 2009 - Study The relationship between organizational leadership for safety and learning from patient safety events. Citation Text: Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …

Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet

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September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. Citation Text: Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strat…

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet

psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish

March 03, 2021 - Study The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. Citation Text: Connolly W, Rafter N, Conroy RM, et al. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in th…

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation

April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. | PSNet

psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation

June 16, 2021 - Study Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. Citation Text: Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …

A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet

psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based

May 26, 2021 - Study A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. Citation Text: Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Pa…

NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. | PSNet

psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year

February 22, 2023 - Study NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. Citation Text: Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative documen…

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. | PSNet

psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models

April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…

Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error

December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. | PSNet

psnet.ahrq.gov/issue/feelings-trust-and-safety-are-related-facets-patients-experience-surgery-descriptive

January 26, 2022 - Study Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. Citation Text: Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surger…

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus

October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

Using automated methods to detect safety problems with health information technology: a scoping review. | PSNet

psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review

April 07, 2019 - Review Using automated methods to detect safety problems with health information technology: a scoping review. Citation Text: Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health information technology: a scoping review. J Am Med Inform Assoc. …

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