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  1. Provider and patient perceptions of an external medication history function. | PSNet

    psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
    July 16, 2015 - Study Provider and patient perceptions of an external medication history function. Citation Text: Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197. C…

  2. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. | PSNet

    psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
    March 17, 2021 - Study Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Citation Text: Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …

  3. Adverse event reporting: harnessing residents to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
    July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

  4. Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

    psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
    March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

  5. Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. | PSNet

    psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
    June 15, 2011 - Commentary Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. Citation Text: Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…

  6. Identification and characterization of adverse drug events in primary care. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
    July 16, 2015 - Study Identification and characterization of adverse drug events in primary care. Citation Text: Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695. Copy Cit…

  7. Understanding the cognitive work of nursing in the acute care environment. | PSNet

    psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
    July 20, 2022 - Study Understanding the cognitive work of nursing in the acute care environment. Citation Text: Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care environment. J Nurs Adm. 2005;35(7-8):327-335. https://journals.lww.com/jonajournal/Abstract/…

  8. Electronic results management in pediatric ambulatory care: qualitative assessment. | PSNet

    psnet.ahrq.gov/issue/electronic-results-management-pediatric-ambulatory-care-qualitative-assessment
    September 26, 2012 - Study Electronic results management in pediatric ambulatory care: qualitative assessment. Citation Text: Ferris T, Johnson SA, Co JPT, et al. Electronic results management in pediatric ambulatory care: qualitative assessment. Pediatrics. 2009;123 Suppl 2:S85-91. doi:10.1542/peds.2008-1…

  9. Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

    psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
    July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

  10. Track 5: Achieving and Sustaining Improvements | Digital Healthcare Research

    digital.ahrq.gov/track-5-achieving-and-sustaining-improvements
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  11. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. | PSNet

    psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
    September 26, 2018 - Study A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Citation Text: Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…

  12. Personal digital assistant-based drug information sources: potential to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/personal-digital-assistant-based-drug-information-sources-potential-improve-medication-safety
    July 14, 2010 - Study Personal digital assistant-based drug information sources: potential to improve medication safety. Citation Text: Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):22…

  13. Health literacy, medication errors, and health outcomes: is there a relationship? | PSNet

    psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
    January 02, 2008 - Review Health literacy, medication errors, and health outcomes: is there a relationship? Citation Text: Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. Copy Cita…

  14. We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet

    psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment
    September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

  15. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet

    psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
    March 04, 2015 - Study A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. Citation Text: Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…

  16. People are more error-prone after committing an error. | PSNet

    psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
    June 29, 2011 - Study People are more error-prone after committing an error. Citation Text: Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  17. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
    March 23, 2022 - Study CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. Citation Text: Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi…

  18. A framework for the analysis of communication errors in health care. | PSNet

    psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
    October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. Citation Text: Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. Copy Citat…

  19. Direct oral anticoagulants: a review of common medication errors. | PSNet

    psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
    January 12, 2022 - Review Emerging Classic Direct oral anticoagulants: a review of common medication errors. Citation Text: Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …

  20. Brigham and Women's Hospital | Digital Healthcare Research

    digital.ahrq.gov/organization/brigham-and-womens-hospital
    January 01, 2023 - Brigham and Women's Hospital Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgen…
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