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The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet

psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors

January 14, 2011 - Study The influence of the structure and culture of medical group practices on prescription drug errors. Citation Text: Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…

Developing a patient safety surveillance system to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit

February 19, 2014 - Review Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Citation Text: Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl)…

Work overload is related to increased risk of error during chemotherapy preparation. | PSNet

psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation

June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…

The role of advice in medication administration errors in the pediatric ambulatory setting. | PSNet

psnet.ahrq.gov/issue/role-advice-medication-administration-errors-pediatric-ambulatory-setting

February 06, 2008 - Study The role of advice in medication administration errors in the pediatric ambulatory setting. Citation Text: Lemer C, Bates DW, Yoon CS, et al. The role of advice in medication administration errors in the pediatric ambulatory setting. J Patient Saf. 2009;5(3):168-75. doi:10.1097/P…

Evolution of a rapid response system from voluntary to mandatory activation. | PSNet

psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation

June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…

Patient safety culture transformation in a children's hospital: an interprofessional approach. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach

January 16, 2010 - Study Patient safety culture transformation in a children's hospital: an interprofessional approach. Citation Text: Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…

Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet

psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology

August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

Medication errors resulting from computer entry by nonprescribers. | PSNet

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January 02, 2017 - Study Medication errors resulting from computer entry by nonprescribers. Citation Text: Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. Copy Citation …

Are quality improvement collaboratives effective? A systematic review. | PSNet

psnet.ahrq.gov/issue/are-quality-improvement-collaboratives-effective-systematic-review

August 02, 2015 - Review Are quality improvement collaboratives effective? A systematic review. Citation Text: Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926. Copy Citation Format…

Safety culture, patient safety, and quality of care outcomes: a literature review. | PSNet

psnet.ahrq.gov/issue/safety-culture-patient-safety-and-quality-care-outcomes-literature-review

October 24, 2018 - Review Safety culture, patient safety, and quality of care outcomes: a literature review. Citation Text: Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…

Complications: acknowledging, managing, and coping with human error. | PSNet

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March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. | PSNet

psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health

September 06, 2017 - Study 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. Citation Text: Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality

October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet

psnet.ahrq.gov/issue/radiologist-initiated-double-reading-abdominal-ct-retrospective-analysis-clinical-importance

September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. | PSNet

psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution

May 13, 2020 - Study Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. Citation Text: Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…

Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. | PSNet

psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses

July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…

Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet

psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture

October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

A quality improvement approach to standardization and sustainability of the hand-off process. | PSNet

psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process

May 15, 2019 - Commentary A quality improvement approach to standardization and sustainability of the hand-off process. Citation Text: Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…

Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet

psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet

December 22, 2018 - Study Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. Citation Text: Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research

January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

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