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Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. | PSNet

psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication

August 26, 2015 - Review Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. Citation Text: Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …

Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care

June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

Medication error prevention by pharmacists. | PSNet

psnet.ahrq.gov/issue/medication-error-prevention-pharmacists

August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. | PSNet

psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen

July 29, 2020 - Study Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. Citation Text: Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes

August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

Learning from litigation. The role of claims analysis in patient safety. | PSNet

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November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet

psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals

October 16, 2019 - Study A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. Citation Text: Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. | PSNet

psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial

March 05, 2010 - Study Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Citation Text: Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system

July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

Medication sharing, storage, and disposal practices for opioid medications among US adults. | PSNet

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March 30, 2022 - Study Medication sharing, storage, and disposal practices for opioid medications among US adults. Citation Text: Kennedy-Hendricks A, Gielen A, McDonald E, et al. Medication Sharing, Storage, and Disposal Practices for Opioid Medications Among US Adults. JAMA Intern Med. 2016;176(7):1027…

Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. | PSNet

psnet.ahrq.gov/issue/risk-identification-and-prediction-complaints-and-misconduct-against-health-practitioners

June 19, 2024 - Review Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Citation Text: Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Heal…

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-and-healthcare-expenditures-us-community-dwelling

April 08, 2020 - Study Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. Citation Text: Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly. Med Care. 2007;4…

Quality and patient safety improvement is never finished. | PSNet

psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished

September 18, 2024 - Study Quality and patient safety improvement is never finished. Citation Text: Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst. 2024;5(9). doi:10.1056/cat.24.0316. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth

July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system

June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

Resident work hour limits and patient safety. | PSNet

psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety

July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared

September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. Citation Text: Imfeld K, Keith M, Stoyanoff L, et al. Diet order entry by registered dietitians results in a reduction in error rates and time …

Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. | PSNet

psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals

September 03, 2011 - Study Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Citation Text: Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediat…

Medical device-related pressure ulcers: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

March 10, 2021 - Review Classic Medical device-related pressure ulcers: a systematic review and meta-analysis. Citation Text: Jackson D, Sarki AM, Betteridge R, et al. Medical device-related pressure ulcers: A systematic review and meta-analysis. Int J Nurs Stud. 2019;92:109-120…

How U.S. teams advanced communication and resolution program adoption at local, state and national levels. | PSNet

psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national

April 24, 2018 - Study How U.S. teams advanced communication and resolution program adoption at local, state and national levels. Citation Text: LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…

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