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  1. Patient perceptions of safety in primary care: a qualitative study to inform care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
    September 28, 2022 - Study Patient perceptions of safety in primary care: a qualitative study to inform care. Citation Text: Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/0300799…

  2. Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

    psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
    January 02, 2017 - Study Reconciling medications at admission: safe practice recommendations and implementation strategies. Citation Text: Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…

  3. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

  4. Evaluation for occult fractures in injured children. | PSNet

    psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
    August 20, 2014 - Study Evaluation for occult fractures in injured children. Citation Text: Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  5. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-and-mapping-measures-medication-safety-during-transfer-care-digital-era-scoping
    July 24, 2024 - Review Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. Citation Text: Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literatur…

  6. A step toward high reliability: implementation of a daily safety brief in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
    August 23, 2023 - Study A step toward high reliability: implementation of a daily safety brief in a children's hospital. Citation Text: Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…

  7. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

    psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
    July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

  8. Paramedic self-reported medication errors. | PSNet

    psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors
    January 14, 2011 - Study Paramedic self-reported medication errors. Citation Text: Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2006;10(4):457-462. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  9. Multi-professional patterns and methods of communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
    January 30, 2019 - Study Multi-professional patterns and methods of communication during patient handoffs. Citation Text: Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…

  10. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  11. The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet

    psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
    March 02, 2011 - Commentary Classic The end of the beginning: patient safety five years after 'To Err Is Human.' Citation Text: Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. C…

  12. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

    psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

  13. Potential medication errors associated with computer prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry
    May 05, 2014 - Study Potential medication errors associated with computer prescriber order entry. Citation Text: Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2. …

  14. Improving radiology report quality by rapidly notifying radiologist of report errors. | PSNet

    psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
    May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report errors. Citation Text: Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…

  15. Semi-supervised classification of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
    October 31, 2011 - Study Semi-supervised classification of patient safety event reports. Citation Text: McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4. doi:10.1097/PTS.0b013e31824ab987. Copy Citation Format: DOI Google Scholar PubM…

  16. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

    psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
    April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

  17. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. | PSNet

    psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
    December 24, 2008 - Book/Report National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. Citation Text: National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…

  18. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet

    psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
    April 22, 2011 - Review A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Citation Text: Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…

  19. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-safety-and-administration-intravenous-vincristine-international-survey-oncology
    March 26, 2015 - Study Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. Citation Text: Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…

  20. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…
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