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The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication

February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study. | PSNet

psnet.ahrq.gov/issue/integrating-and-evaluating-data-quality-and-utility-smart-pump-information-detecting

September 09, 2020 - Study Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study. Citation Text: Ni Y, Lingren T, Huth H, et al. Integrating and evaluating the data quality and utility of smart pump information in det…

Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. | PSNet

psnet.ahrq.gov/issue/rising-drug-allergy-alert-overrides-electronic-health-records-observational-retrospective

July 06, 2022 - Study Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience. Citation Text: Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an observational retrospective stu…

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. | PSNet

psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration

November 16, 2022 - Study I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. Citation Text: Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…

Defining and measuring diagnostic uncertainty in medicine: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review

June 21, 2018 - Review Classic Defining and measuring diagnostic uncertainty in medicine: a systematic review. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-11…

A systems approach to morbidity and mortality conference. | PSNet

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July 22, 2020 - Study Classic A systems approach to morbidity and mortality conference. Citation Text: Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. Co…

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent

January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

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December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

Overcoming COVID-19: what can human factors and ergonomics offer? | PSNet

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September 02, 2020 - Commentary Emerging Classic Overcoming COVID-19: what can human factors and ergonomics offer? Citation Text: Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49…

Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. | PSNet

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October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …

Performance of a fail-safe system to follow up abnormal mammograms in primary care. | PSNet

psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care

September 11, 2013 - Study Performance of a fail-safe system to follow up abnormal mammograms in primary care. Citation Text: Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. Copy Citation Format:…

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. | PSNet

psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived-taxonomy

December 04, 2016 - Study Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. Citation Text: Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jam…

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20

October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england

November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. | PSNet

psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19

October 21, 2020 - Commentary Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. Citation Text: Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …

Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet

psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or

April 05, 2017 - Study Classic Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. Citation Text: Oliva EM, Bowe T, Manhapra A, et al. Associations between stopping prescrip…

Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. | PSNet

psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient

June 15, 2022 - Study Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. Citation Text: Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie…

The missing evidence: a systematic review of patients' experiences of adverse events in health care. | PSNet

psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care

September 06, 2017 - Review Classic The missing evidence: a systematic review of patients' experiences of adverse events in health care. Citation Text: Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet

psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using

February 10, 2021 - Study Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Citation Text: Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis …

Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet

psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92

September 01, 2021 - Study Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Citation Text: Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…

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