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How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet

psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision

March 17, 2021 - In this study, ten outpatient clinics used the Ambulatory Electronic Health Record (EHR) Evaluation … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital … August 7, 2019 Electronic results management in pediatric ambulatory care: qualitative … A cross-sectional observational study of high override rates of drug allergy alerts in … Clinical decision support improves the appropriateness of laboratory test ordering in

The frequency and nature of prescribing problems by general practitioners in training (REVISiT). | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit

December 16, 2020 - Study The frequency and nature of prescribing problems by general practitioners in … This retrospective review of prescriptions from ten general practitioners in training in the United Kingdom … primary care in England: retrospective case note review. … December 15, 2021 Electronic prescribing systems in hospitals to improve medication safety … February 26, 2014 Receptionist input to quality and safety in repeat prescribing in UK

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system

January 19, 2022 - article describes the implementation of the Enhancing Quality of Prescribing Practices for Older Adults in … October 21, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … 2023 A program to provide clinicians with feedback on their diagnostic performance in … Electronic medical record-based interventions to encourage opioid prescribing best practices in

Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet

psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons

August 04, 2021 - Study Malpractice cases in breast surgery: an assessment of litigation involving … Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … multistate hospital network--13 academic medical centers, April-June 2020. … November 21, 2012 Patient safety in plastic surgery.

Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health

March 05, 2025 - The largest decreases in prescribing were seen in lower-rated nursing homes without an increase in … Author(s) Simulation-debriefing enhanced needs assessment to address quality markers in … July 5, 2023 Long-Term Trends of Psychotropic Drug Use in Nursing Homes. … from acute care hospitals to residential aged care facilities. … improvement project in 99 primary care practices.

Research designs for studies evaluating the effectiveness of change and improvement strategies. | PSNet

psnet.ahrq.gov/issue/research-designs-studies-evaluating-effectiveness-change-and-improvement-strategies

September 20, 2011 - The review and accompanying discussion apply directly to work in patient safety, which shares the same … challenges in evaluation design. … October 4, 2023 Microsystems in health care: Part 2. … December 8, 2021 Fall prevention implementation strategies in use at 60 United States … hospitals: a descriptive study.

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. | PSNet

psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient

January 15, 2014 - Ultimately, the decision was overturned by OHRP (with considerable pressure from those in the safety … in moving forward. … January 22, 2017 Improving patient safety in intensive care units in Michigan. … August 25, 2015 Creating high reliability in health care organizations. … hospitals: a descriptive study.

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record

March 04, 2011 - The introduction of health information technology (IT) has resulted in various documented improvements … in patient safety and care delivery. … February 8, 2012 Latency of ECG displays of hospital telemetry systems: a science advisory … alert fatigue in electronic health records. … December 19, 2018 Safe practices for copy and paste in the EHR.

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet

psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse

July 08, 2008 - , and ventilator-associated pneumonia among patients in contact isolation. … April 12, 2011 A multifaceted program for improving quality of care in intensive care … August 4, 2021 Association of diagnostic stewardship for blood cultures in critically … May 18, 2022 Changes in medical errors after implementation of a handoff program. … North-West England in 2009 and 2010.

Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department

November 29, 2023 - Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in … Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: … Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: … the emergency department and mortality in older patients. … August 15, 2016 Medication errors at hospital admission and discharge: risk factors and

Organizational culture, team climate and diabetes care in small office-based practices. | PSNet

psnet.ahrq.gov/issue/organizational-culture-team-climate-and-diabetes-care-small-office-based-practices

April 01, 2010 - A prior trial of crew resource management in an outpatient clinic did result in improved diabetes … incidents in a Dutch exploratory cohort study? … factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … in the intensive care: a retrospective cohort study. … Hazards in delivery of surgical instruments.

Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet

psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography

February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in … June 8, 2022 Patients' and providers' perceptions of the preventability of hospital readmission … : a prospective, observational study in four European countries. … July 6, 2022 Machine learning is booming in medicine. … May 13, 2020 Changes in cancer detection and false-positive recall in mammography using

Pediatric prehospital medication dosing errors: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study

August 25, 2021 - Medication errors are common in pediatric patients who require care from emergency medical services … This study found that most paramedics had limited experience and comfort in administering medications … kilograms on pediatric medication dosing errors in emergency medical services. … January 27, 2019 Patient safety events in out-of-hospital paediatric airway management … July 3, 2014 Medication prescribing errors in the prehospital setting and in the ED.

What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. | PSNet

psnet.ahrq.gov/issue/what-does-safe-care-mean-context-community-based-mental-health-services-qualitative

December 07, 2022 - What does ‘safe care’ mean in the context of community-based mental health services? … their perspectives on what safety means in that setting. … of drugs in anaesthesia: prospective randomised clinical evaluation. … transitions from mental health hospitals to the community: a prioritisation nominal group technique. … in nine quality improvement initiatives.

Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. | PSNet

psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study

February 01, 2023 - Study Actions for mitigating the negative effects of patient participation in patient … patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands … Hazards in delivery of surgical instruments. … August 10, 2022 Risky procedures by nurses in hospitals: problems and (contemplated) … in situ simulation training of neonatal emergencies.

Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice

April 21, 2021 - Building on prior research , this study found that medication errors are common in patients starting … From the randomized AMBORA trial to clinical practice: comparison of medication errors in … July 10, 2024 Clinically significant medication errors in surgical units detected by … performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital … May 11, 2014 Minimising treatment-associated risks in systemic cancer therapy.

Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet

psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015

January 23, 2019 - Study Classic Increases in drug and opioid overdose deaths—United … Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. … Opioid medications are frequently associated with adverse drug events in inpatient and outpatient … Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. … November 17, 2011 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured

September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in … Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients … February 5, 2020 High delayed and missed injury rate after inter-hospital transfer of … February 17, 2021 Changes in error patterns in unanticipated trauma deaths during 20 … years: in pursuit of zero preventable deaths.

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet

psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care

April 04, 2018 - In this pre–post evaluation study, staff reported improved safety culture and teamwork . … the study should be addressed in order to improve obstetric and neonatal care safety. … the rising rate of severe maternal morbidity and summarizes national initiatives to improve safety in … May 18, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … a community hospital.

Testimonial injustice: linguistic bias in the medical records of black patients and women. | PSNet

psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women

July 28, 2021 - Testimonial injustice: linguistic bias in the medical records of black patients and women. … communicate disbelief in medical records and racial and gender differences in the use of such language … Stigmatizing language and the transmission of bias in the medical record. … older adults with a history of falls: a qualitative study. … in internal medicine residencies: a national survey of program directors.

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