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  1. Information chaos in primary care: implications for physician performance and patient safety. | PSNet

    psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
    July 02, 2019 - Commentary Information chaos in primary care: implications for physician performance and patient safety. Citation Text: Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…

  2. Wake Up Safe in the USA & international patient safety. | PSNet

    psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
    August 23, 2023 - Study Wake Up Safe in the USA & international patient safety. Citation Text: Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. Copy Citation Format: DOI Google Scholar BibTeX En…

  3. Interorganizational complexity and organizational accident risk: a literature review. | PSNet

    psnet.ahrq.gov/issue/interorganizational-complexity-and-organizational-accident-risk-literature-review
    June 02, 2021 - Review Interorganizational complexity and organizational accident risk: a literature review. Citation Text: Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. Copy Citation …

  4. Operating room fires. | PSNet

    psnet.ahrq.gov/issue/operating-room-fires
    March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  5. Patient safety: the what, how, and when. | PSNet

    psnet.ahrq.gov/issue/patient-safety-what-how-and-when
    June 23, 2021 - Commentary Patient safety: the what, how, and when. Citation Text: Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  6. Patient reports of preventable problems and harms in primary health care. | PSNet

    psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
    February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…

  7. Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. | PSNet

    psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
    March 11, 2015 - Study Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. Citation Text: Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…

  8. Applying hierarchical task analysis to medication administration errors. | PSNet

    psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…

  9. Doctors' views of attitudes towards peer medical error. | PSNet

    psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
    April 04, 2012 - Study Doctors' views of attitudes towards peer medical error. Citation Text: Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015. Copy Citation Format: DOI Google S…

  10. The dangers of ignoring the Beers criteria—the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
    October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…

  11. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. | PSNet

    psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
    February 28, 2018 - Review Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Citation Text: Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000…

  12. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet

    psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - Newspaper/Magazine Article Safety with nebulized medications requires an interdisciplinary team approach. Citation Text: Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. Copy Ci…

  13. Disclosure of harmful medical error to patients: a review with recommendations for pathologists. | PSNet

    psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
    September 21, 2022 - Review Disclosure of harmful medical error to patients: a review with recommendations for pathologists. Citation Text: Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…

  14. ADEs and automation. | PSNet

    psnet.ahrq.gov/issue/ades-and-automation
    January 15, 2014 - Commentary ADEs and automation. Citation Text: Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7. doi:10.1097/01.NUMA.0000343983.46376.31. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  15. Alarm fatigue: use of an evidence-based alarm management strategy. | PSNet

    psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
    July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  16. Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medication-combination-opioids-among-older-dental-patients
    March 18, 2020 - Study Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. Citation Text: Zhou J, Calip GS, Rowan S, et al. Potentially inappropriate medication combination with opioids among older dental patients: a …

  17. Hospital checklists are meant to save lives—so why do they often fail? | PSNet

    psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
    July 31, 2013 - Newspaper/Magazine Article Hospital checklists are meant to save lives—so why do they often fail? Citation Text: Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. Copy Citation Format: DOI G…

  18. A multicenter collaborative approach to reducing pediatric codes outside the ICU. | PSNet

    psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
    August 13, 2014 - Study A multicenter collaborative approach to reducing pediatric codes outside the ICU. Citation Text: Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227. …

  19. "Tech-check-tech": a review of the evidence on its safety and benefits. | PSNet

    psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
    September 23, 2020 - Review "Tech-check-tech": a review of the evidence on its safety and benefits. Citation Text: Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. Copy Citation …

  20. Trends in anesthesia-related liability and lessons learned. | PSNet

    psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
    August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…
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