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  1. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. | PSNet

    psnet.ahrq.gov/issue/improving-medication-administration-safety-solid-organ-transplant-patients-through-barcode
    October 02, 2013 - Study Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. Citation Text: Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…

  2. Slide 1 (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/OverviewAHRQSupportedAddingClinicalDataPilots09.pdf
    November 18, 2009 - Slide 1 Agency for Healthcare Research and Quality Advancing Excellence in Health Care • www.ahrq.gov Adding Clinical Data to Administrative Datasets: Overview of AHRQ Pilots Roxanne Andrews Anne Elixhauser 13th Annual Healthcare Cost and Utilization Project (HCUP) Partners Meeting November 18, 2009 Advan…

  3. Doctors and dentists still flooding U.S. with opioid prescriptions. | PSNet

    psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
    October 13, 2018 - Newspaper/Magazine Article Doctors and dentists still flooding U.S. with opioid prescriptions. Citation Text: Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17. Copy Citation Format: Google Scholar BibTeX EndNote…

  4. Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet

    psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
    February 29, 2012 - Study Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. Citation Text: Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An analysis of associations with safety cl…

  5. Managing and mitigating conflict in healthcare teams: an integrative review. | PSNet

    psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review
    July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…

  6. Interruptions in emergency department work: an observational and interview study. | PSNet

    psnet.ahrq.gov/issue/interruptions-emergency-department-work-observational-and-interview-study
    September 29, 2021 - Study Interruptions in emergency department work: an observational and interview study. Citation Text: Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001…

  7. Evidence-based organization and patient safety strategies in European hospitals. | PSNet

    psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
    January 20, 2016 - Study Evidence-based organization and patient safety strategies in European hospitals. Citation Text: Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…

  8. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet

    psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
    May 25, 2022 - Commentary RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. Citation Text: Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…

  9. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

  10. Patient safety in home health care: a grounded theory study. | PSNet

    psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
    September 25, 2019 - Study Patient safety in home health care: a grounded theory study. Citation Text: Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9. Copy Citation Fo…

  11. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet

    psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
    October 20, 2021 - Study Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Citation Text: Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…

  12. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
    March 14, 2022 - Study Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Citation Text: Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med…

  13. Why do nurses miss nursing care? A qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
    January 23, 2017 - Review Why do nurses miss nursing care? A qualitative meta-synthesis. Citation Text: Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. Copy Citation Format: DOI Google Scho…

  14. Emergency department checklist: an innovation to improve safety in emergency care. | PSNet

    psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
    December 20, 2023 - Commentary Emergency department checklist: an innovation to improve safety in emergency care. Citation Text: Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…

  15. Reducing errors resulting from commonly missed chest radiography findings. | PSNet

    psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
    August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …

  16. The Institute of Medicine report on medical errors—could it do harm? | PSNet

    psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm
    February 18, 2011 - Commentary Classic The Institute of Medicine report on medical errors—could it do harm? Citation Text: Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510. Co…

  17. Body CT: technical advances for improving safety. | PSNet

    psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety
    September 28, 2022 - Review Body CT: technical advances for improving safety. Citation Text: Marin D, Nelson RC, Rubin GD, et al. Body CT: technical advances for improving safety. AJR Am J Roentgenol. 2011;197(1):33-41. doi:10.2214/AJR.11.6755. Copy Citation Format: DOI Google Scholar PubMed Bi…

  18. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet

    psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
    January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

  19. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

    psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
    April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

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

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    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…
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