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Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. | PSNet

psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors

May 10, 2017 - Study Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Citation Text: Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med …

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. | PSNet

psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study

May 19, 2018 - Study Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. Citation Text: Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…

Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. | PSNet

psnet.ahrq.gov/issue/surgical-patient-safety-officers-united-states-negotiating-contradictions-between-compliance

December 31, 2018 - Commentary Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. Citation Text: van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…

Lacerations and embedded needles caused by epinephrine autoinjector use in children. | PSNet

psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children

September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…

Improving radiology report quality by rapidly notifying radiologist of report errors. | PSNet

psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors

May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report errors. Citation Text: Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…

Embracing multiple aims in healthcare improvement and innovation. | PSNet

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June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

Dissemination of Lean methods to improve Pap testing quality and patient safety. | PSNet

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June 14, 2011 - Study Dissemination of Lean methods to improve Pap testing quality and patient safety. Citation Text: Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0…

The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-consequences-and-call-action

October 10, 2012 - Review The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. Citation Text: Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. Am He…

The role of error in organizing behaviour. | PSNet

psnet.ahrq.gov/issue/role-error-organizing-behaviour

April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

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December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare

July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

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June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. | PSNet

psnet.ahrq.gov/issue/moral-distress-compassion-fatigue-and-perceptions-about-medication-errors-certified-critical

November 09, 2015 - Study Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Citation Text: Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens C…

"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care

August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. | PSNet

psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based

January 19, 2014 - Study Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. Citation Text: Cresswell K, Howe A, Steven A, et al. Patient safety in healthcare preregistratio…

Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent

November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication

December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

Patient safety culture in primary care: developing a theoretical framework for practical use. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-primary-care-developing-theoretical-framework-practical-use

September 06, 2017 - Study Patient safety culture in primary care: developing a theoretical framework for practical use. Citation Text: Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.…

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? | PSNet

psnet.ahrq.gov/issue/canadian-association-university-surgeons-annual-symposium-surgical-simulation-solution-safe

March 09, 2022 - Review Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? Citation Text: Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulat…

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