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  1. An mHealth design to promote medication safety in children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
    July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…

  2. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. | PSNet

    psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
    December 31, 2014 - Study Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Citation Text: Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …

  3. Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet

    psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed
    December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

  4. Automated identification of postoperative complications within an electronic medical record using natural language processing. | PSNet

    psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
    March 09, 2011 - Study Classic Automated identification of postoperative complications within an electronic medical record using natural language processing. Citation Text: Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…

  5. Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. | PSNet

    psnet.ahrq.gov/issue/innovative-patient-safety-curriculum-using-ipad-game-passed-improved-patient-safety-concepts
    November 16, 2022 - Study Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. Citation Text: Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Unde…

  6. A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

    psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety
    January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

  7. The top patient safety strategies that can be encouraged for adoption now. | PSNet

    psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
    September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…

  8. Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
    October 18, 2018 - Study Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. Citation Text: Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Pr…

  9. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

    psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
    January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

  10. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. | PSNet

    psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient
    March 18, 2020 - Study The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Citation Text: De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…

  11. Patient engagement in the inpatient setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review
    November 02, 2018 - Review Patient engagement in the inpatient setting: a systematic review. Citation Text: Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141. Copy Citation F…

  12. Parent-reported errors and adverse events in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children
    June 29, 2009 - Study Classic Parent-reported errors and adverse events in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics…

  13. Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. | PSNet

    psnet.ahrq.gov/issue/partnering-patients-and-families-living-chronic-conditions-coproduce-diagnostic-safety
    October 27, 2021 - Study Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. Citation Text: Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions to coprod…

  14. Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers. | PSNet

    psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect-primary-care-quality
    October 05, 2022 - Review Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers. Citation Text: Darley S, Coulson T, Peek N, et al. Understanding how the design and im…

  15. Burden of serious harms from diagnostic error in the USA. | PSNet

    psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
    June 03, 2020 - Study Burden of serious harms from diagnostic error in the USA. Citation Text: Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. Copy Citation Format: DO…

  16. The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
    March 04, 2015 - Study Classic The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…

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

    psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
    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…

  18. From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. | PSNet

    psnet.ahrq.gov/issue/randomized-ambora-trial-clinical-practice-comparison-medication-errors-oral-antitumor-therapy
    April 21, 2021 - Study From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Citation Text: Cuba L, Dürr P, Dörje F, et al. From the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy. Clin Ph…

  19. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
    March 09, 2022 - Study Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. Citation Text: Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropria…

  20. Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet

    psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
    March 08, 2023 - Review Sitters as a patient safety strategy to reduce hospital falls: a systematic review. Citation Text: Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. Copy Citation For…
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