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  1. Errors in the medication process: frequency, type, and potential clinical consequences. | PSNet

    psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences
    July 21, 2021 - Study Errors in the medication process: frequency, type, and potential clinical consequences. Citation Text: Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22. Copy Citation …

  2. CE: nursing's evolving role in patient safety. | PSNet

    psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety
    July 19, 2023 - Review CE: nursing's evolving role in patient safety. Citation Text: Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  3. Building a community engagement approach for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
    April 01, 2010 - Commentary Building a community engagement approach for patient safety improvement. Citation Text: Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. Copy Citation Format:…

  4. Detecting clinical medication errors with AI enabled wearable cameras. | PSNet

    psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
    August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

  5. Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. | PSNet

    psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
    March 11, 2009 - Study Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. Citation Text: Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …

  6. Seasoned surgeons assessed in a laparoscopic surgical crisis. | PSNet

    psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis
    July 02, 2008 - Study Seasoned surgeons assessed in a laparoscopic surgical crisis. Citation Text: Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. Copy Citation For…

  7. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  8. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. | PSNet

    psnet.ahrq.gov/issue/junior-doctors-and-patient-safety-evaluating-knowledge-attitudes-and-perception-safety
    February 18, 2019 - Study Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. Citation Text: Durani P, Dias J, Singh HP, et al. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. BMJ Qual Saf. 2013;22(1):65-…

  9. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  10. Rapid response systems in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-netherlands
    November 20, 2015 - Study Rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Hamming A, De Jonge E, et al. Rapid Response Systems in the Netherlands. Jt Comm J Qual Patient Saf. 2016;37(3):138-149. doi:10.1016/s1553-7250(11)37017-1. Copy Citation Format: DOI Google Schol…

  11. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. | PSNet

    psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty
    November 27, 2017 - Study Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Citation Text: Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…

  12. Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
    October 12, 2022 - Book/Report Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Citation Text: Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Washington, DC: Veterans Affairs Office of Inspector General; 2…

  13. Bias and racism teaching rounds at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Commentary Bias and racism teaching rounds at an academic medical center. Citation Text: Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. Copy Citation Format: DOI Goog…

  14. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet

    psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
    May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

  15. The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet

    psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
    June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

  16. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. | PSNet

    psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
    February 18, 2019 - Commentary Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. Citation Text: Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000…

  17. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

    psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
    March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

  18. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. | PSNet

    psnet.ahrq.gov/issue/decreasing-clinically-significant-adverse-events-using-feedback-emergency-physicians
    January 21, 2015 - Study Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Citation Text: Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-…

  19. Surgeon commitment to trauma care decreases missed injuries. | PSNet

    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. Citation Text: Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. Copy Citation Format: DOI Google Scho…

  20. Examining the meaning of the language used to communicate the nursing hand-off. | PSNet

    psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
    July 07, 2021 - Study Examining the meaning of the language used to communicate the nursing hand-off. Citation Text: Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175. Copy Citation …
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