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  1. Simulation in graduate medical education 2008: a review for emergency medicine. | PSNet

    psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
    July 13, 2010 - Commentary Simulation in graduate medical education 2008: a review for emergency medicine. Citation Text: McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-271…

  2. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. | PSNet

    psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain
    April 17, 2024 - Study Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. Citation Text: Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024…

  3. An examination of medical malpractice claims involving physician trainees. | PSNet

    psnet.ahrq.gov/issue/examination-medical-malpractice-claims-involving-physician-trainees
    July 15, 2020 - Study An examination of medical malpractice claims involving physician trainees. Citation Text: Myers LC, Gartland RM, Skillings J, et al. An examination of medical malpractice claims involving physician trainees. Acad Med. 2020;95(8):1215-1222. doi:10.1097/acm.0000000000003117. Copy C…

  4. Safety of patients isolated for infection control. | PSNet

    psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
    January 15, 2020 - Study Classic Safety of patients isolated for infection control. Citation Text: Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899-1905. Copy Citation Format: Google Scholar PubMed BibT…

  5. Emergency department adverse events detected using the emergency department trigger tool. | PSNet

    psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
    September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

  6. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. | PSNet

    psnet.ahrq.gov/issue/antimicrobial-prescription-errors-hospitalized-children-role-antimicrobial-stewardship
    April 07, 2021 - Study Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. Citation Text: Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship…

  7. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

    psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

  8. Causes for medical errors in obstetrics and gynaecology. | PSNet

    psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
    May 01, 2019 - Review Causes for medical errors in obstetrics and gynaecology. Citation Text: Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. Copy Citation Format: DOI Go…

  9. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
    October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

  10. Reasons provided by prescribers when overriding drug–drug interaction alerts. | PSNet

    psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
    April 27, 2010 - Study Reasons provided by prescribers when overriding drug–drug interaction alerts. Citation Text: Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578. Copy Citation Format: …

  11. The effect of cognitive debiasing training among family medicine residents. | PSNet

    psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents
    August 04, 2021 - Study The effect of cognitive debiasing training among family medicine residents. Citation Text: Smith BW, Slack MB. The effect of cognitive debiasing training among family medicine residents. Diagnosis (Berl). 2015;2(2):117-121. doi:10.1515/dx-2015-0007. Copy Citation Format: …

  12. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

  13. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
    February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

  14. Infections associated with reprocessed flexible bronchoscopes. | PSNet

    psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
    March 11, 2015 - Press Release/Announcement Infections associated with reprocessed flexible bronchoscopes. Citation Text: Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. Copy Citation …

  15. Strategies for sustaining a quality improvement collaborative and its patient safety gains. | PSNet

    psnet.ahrq.gov/issue/strategies-sustaining-quality-improvement-collaborative-and-its-patient-safety-gains
    February 01, 2011 - Study Strategies for sustaining a quality improvement collaborative and its patient safety gains. Citation Text: Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…

  16. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments | PSNet

    psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
    June 12, 2024 - Study Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments Citation Text: Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…

  17. Medication reconciliation in a community pharmacy setting. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting
    November 16, 2022 - Study Medication reconciliation in a community pharmacy setting. Citation Text: Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. Copy Citation Format: …

  18. U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

    psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
    September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …

  19. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. | PSNet

    psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient
    January 07, 2015 - Study Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. Citation Text: Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safet…

  20. Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. | PSNet

    psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety
    June 14, 2011 - Study Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. Citation Text: Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety im…
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