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  1. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

    psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
    March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

  2. Nurses' perceptions of causes of medication errors and barriers to reporting. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting
    March 21, 2018 - Study Nurses' perceptions of causes of medication errors and barriers to reporting. Citation Text: Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. Copy Citation Format: …

  3. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. | PSNet

    psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
    May 13, 2020 - Study Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. Citation Text: Farrell C‐JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in…

  4. From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/implementation-sustainment-large-scale-adverse-event-disclosure-support-program-generated
    March 26, 2015 - Study From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration. Citation Text: Elwy AR, Maguire EM, McCullough M, et al. From implementation to sustainment: a large-scale adverse e…

  5. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
    March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …

  6. Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
    September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

  7. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. | PSNet

    psnet.ahrq.gov/issue/association-hospital-markup-preventable-adverse-events-following-pancreatic-surgery-united
    March 14, 2022 - Study Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Citation Text: Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. C…

  8. Patients' experiences with communication-and-resolution programs after medical injury. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
    May 05, 2021 - Study Patients' experiences with communication-and-resolution programs after medical injury. Citation Text: Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamaintern…

  9. Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet

    psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
    June 29, 2022 - Study Medication errors in community pharmacies: evaluation of a standardized safety program. Citation Text: Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…

  10. Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. | PSNet

    psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
    August 14, 2017 - Commentary Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…

  11. Adverse drug events caused by serious medication administration errors. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
    December 19, 2009 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

  12. African American COVID-19 mortality: a sentinel event. | PSNet

    psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
    November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

  13. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
    April 08, 2020 - Study Views of children, parents, and health-care providers on pediatric disclosure of medical errors. Citation Text: Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…

  14. Pediatric trainee perspectives on the decision to disclose medical errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
    April 27, 2022 - Study Pediatric trainee perspectives on the decision to disclose medical errors. Citation Text: Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848. Copy Cit…

  15. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. | PSNet

    psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
    March 12, 2014 - Study Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. Citation Text: Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…

  16. Primary care providers' perspectives on errors of omission. | PSNet

    psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
    July 30, 2014 - Study Primary care providers' perspectives on errors of omission. Citation Text: Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. Copy Citation Format: …

  17. Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. | PSNet

    psnet.ahrq.gov/issue/need-standardized-sign-out-emergency-department-survey-emergency-medicine-residency-and
    May 27, 2011 - Study Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. Citation Text: Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a su…

  18. Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. | PSNet

    psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
    October 10, 2012 - Study Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Citation Text: Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…

  19. More than 1 million potential second victims: how many could nursing education prevent? | PSNet

    psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
    May 30, 2018 - Study More than 1 million potential second victims: how many could nursing education prevent? Citation Text: Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437. Cop…

  20. Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet

    psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
    September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…
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