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  1. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. | PSNet

    psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
    July 02, 2019 - Study Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. Citation Text: Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …

  2. Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet

    psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
    July 18, 2016 - Study Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. Citation Text: Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…

  3. Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. | PSNet

    psnet.ahrq.gov/issue/perceived-patient-safety-culture-nursing-homes-associated-nursing-home-compare-performance
    November 04, 2020 - Study Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. Citation Text: Li Y, Cen X, Cai X, et al. Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators. Med Care. 2019…

  4. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). | PSNet

    psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
    March 11, 2015 - Study Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Citation Text: Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…

  5. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
    June 02, 2021 - Study Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. Citation Text: Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…

  6. Measuring hospital-acquired complications associated with low-value care. | PSNet

    psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
    August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…

  7. Supporting a psychiatric hospital culture of safety. | PSNet

    psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
    March 11, 2020 - Study Supporting a psychiatric hospital culture of safety. Citation Text: Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. Copy Citation Format: DOI …

  8. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

  9. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. | PSNet

    psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality-improvement-report
    September 23, 2020 - Study Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. Citation Text: Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…

  10. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. | PSNet

    psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring
    February 28, 2011 - Study What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. Citation Text: Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety…

  11. Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
    May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

  12. Safety and diagnostic accuracy of tumor biopsies in children with cancer. | PSNet

    psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-tumor-biopsies-children-cancer
    September 23, 2020 - Study Safety and diagnostic accuracy of tumor biopsies in children with cancer. Citation Text: Interiano RB, Loh AHP, Hinkle N, et al. Safety and diagnostic accuracy of tumor biopsies in children with cancer. Cancer. 2015;121(7):1098-107. doi:10.1002/cncr.29167. Copy Citation Forma…

  13. Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

    psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
    July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

  14. Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

    psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
    May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

  15. National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
    October 16, 2013 - Book/Report National Action Plan for Adverse Drug Event Prevention. Citation Text: National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. Copy Cita…

  16. People are more error-prone after committing an error. | PSNet

    psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
    June 29, 2011 - Study People are more error-prone after committing an error. Citation Text: Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  17. 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.…

  18. Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. | PSNet

    psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
    October 29, 2014 - Study Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. Citation Text: Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…

  19. Sleep and errors in a group of Australian hospital nurses at work and during the commute. | PSNet

    psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute
    February 14, 2024 - Study Sleep and errors in a group of Australian hospital nurses at work and during the commute. Citation Text: Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…

  20. Minimizing electronic health record patient–note mismatches. | PSNet

    psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
    December 27, 2014 - Study Minimizing electronic health record patient–note mismatches. Citation Text: Wilcox AB, Chen Y-H, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511-4. doi:10.1136/amiajnl-2010-000068. Copy Citation Format: …
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