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psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
May 15, 2019 - Commentary
Addressing medicine's bias against patients who are overweight.
Citation Text:
Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048.
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psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
September 21, 2009 - Commentary
Bringing the equity lens to patient safety event reporting.
Citation Text:
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
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psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
September 07, 2016 - Book/Report
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.
Citation Text:
Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…
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psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
October 19, 2011 - Study
Reporting of hazards and near-misses in the ambulatory care setting.
Citation Text:
Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204.
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psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
September 11, 2019 - Commentary
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Citation Text:
Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for…
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psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Review
Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.
Citation Text:
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…
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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - Study
The need for organizational change in patient safety initiatives.
Citation Text:
Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17.
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psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
June 14, 2019 - Review
How is medication prescribing ceased? A systematic review.
Citation Text:
Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e.
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psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
September 23, 2020 - Commentary
Reducing inappropriate polypharmacy: the process of deprescribing.
Citation Text:
Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324.
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psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
August 23, 2023 - Commentary
A unified model of patient safety (or "Who froze my cheese?").
Citation Text:
Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ. 2013;347:f7273. doi:10.1136/bmj.f7273.
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psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
August 07, 2024 - Commentary
Events that inspired change: the importance of sharing what happened to stop it from happening again.
Citation Text:
Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice.
Citation Text:
Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
August 03, 2016 - Review
Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.
Citation Text:
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - Study
Error tracking in a clinical biochemistry laboratory.
Citation Text:
Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272.
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psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
May 27, 2011 - Study
Reducing warfarin medication interactions: an interrupted time series evaluation.
Citation Text:
Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time series evaluation. Arch Intern Med. 2006;166(9):1009-15.
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psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - Study
Reduced verification of medication alerts increases prescribing errors.
Citation Text:
Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009.
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.
Citation Text:
Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…
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psnet.ahrq.gov/issue/fate-medicine-time-ai
September 04, 2024 - Commentary
Emerging Classic
The fate of medicine in the time of AI.
Citation Text:
Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-6736(18)31925-1.
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psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - Study
Teamwork and error in the operating room: analysis of skills and roles.
Citation Text:
Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247(4):699-706. doi:10.1097/SLA.0b013e3181642ec8.
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