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  1. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
    February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

  2. A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet

    psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
    April 11, 2011 - Study A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. Citation Text: Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5. Copy Citation…

  3. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. | PSNet

    psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
    January 03, 2017 - Study "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Citation Text: Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…

  4. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

  5. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
    January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. Citation Text: Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. Copy Citat…

  6. New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. | PSNet

    psnet.ahrq.gov/issue/new-graduate-registered-nurses-risk-mitigation-strategies-ensure-safety-and-successful
    September 28, 2022 - Commentary New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. Citation Text: Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …

  7. Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet

    psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human
    May 29, 2019 - Study Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. Citation Text: Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors frame…

  8. Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-how-physicians-communicate-diagnostic-uncertainty-experimental-vignette
    August 07, 2019 - Study Classic Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. Citation Text: Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental…

  9. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. | PSNet

    psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
    February 28, 2024 - Study Leading quality and safety on the frontline - a case study of department leaders in nursing homes. Citation Text: Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193…

  10. Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

    psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats
    October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

  11. Temporal clustering of critical illness events on medical wards. | PSNet

    psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
    January 31, 2024 - Study Temporal clustering of critical illness events on medical wards. Citation Text: Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629. Copy Citation F…

  12. Status of patient safety culture in community pharmacy settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/status-patient-safety-culture-community-pharmacy-settings-systematic-review
    March 04, 2020 - Review Status of patient safety culture in community pharmacy settings: a systematic review. Citation Text: Kwon K-E, Nam DR, Lee M-S, et al. Status of patient safety culture in community pharmacy settings: a systematic review. J Patient Saf. 2023;19(6):353-361. doi:10.1097/pts.000000000…

  13. Adverse events in healthcare: learning from mistakes. | PSNet

    psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
    February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

  14. Instruments for measuring patient safety competencies in nursing: a scoping review. | PSNet

    psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
    November 09, 2022 - Review Instruments for measuring patient safety competencies in nursing: a scoping review. Citation Text: Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021…

  15. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
    April 02, 2015 - Review Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. Citation Text: Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…

  16. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews
    July 19, 2023 - Review Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Citation Text: Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database…

  17. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. | PSNet

    psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
    March 04, 2015 - Review Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. Citation Text: Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…

  18. Root cause analysis for hospital-acquired pressure injury. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - Review Root cause analysis for hospital-acquired pressure injury. Citation Text: Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. Copy Citation Format: DOI Google Schol…

  19. A mixed-methods systematic review of interventions to address incivility in nursing. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing
    December 02, 2020 - Review A mixed-methods systematic review of interventions to address incivility in nursing. Citation Text: Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/0148483…

  20. 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…
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