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  1. The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

    psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
    November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

  2. Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet

    psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
    September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

  3. Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
    November 14, 2018 - Study Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. Citation Text: Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a p…

  4. How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet

    psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
    May 27, 2011 - Study How useful are voluntary medication error reports? The case of warfarin-related medication errors. Citation Text: Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…

  5. Continuing education in patient safety: massive open online courses as a new training tool. | PSNet

    psnet.ahrq.gov/issue/continuing-education-patient-safety-massive-open-online-courses-new-training-tool
    September 01, 2021 - Study Continuing education in patient safety: massive open online courses as a new training tool. Citation Text: Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015…

  6. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time
    October 07, 2020 - Study The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Citation Text: Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…

  7. The effect of virtual nursing and missed nursing care. | PSNet

    psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
    December 01, 2021 - Study The effect of virtual nursing and missed nursing care. Citation Text: Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. Copy Citation Format: DOI Google Schola…

  8. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. | PSNet

    psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and
    September 24, 2016 - Study Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. Citation Text: Magrabi F, Li SYW, Day R, et al. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects…

  9. The Give Teens Vaccines Study - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/give-teens-vaccines-study/activity/give-teens-vaccines-study/annual-summary/2011
    January 01, 2011 - The Give Teens Vaccines Study - 2011 Project Name The Give Teens Vaccines Study Principal Investigator Fiks, Alexander Organization The Children's Hospital of Philadelphia Pediatric Research Consortium Contract Number 290-07-10013-4 Project Period September …

  10. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
    January 02, 2017 - Study Classic Incidence and characteristics of potential and actual retained foreign object events in surgical patients. Citation Text: Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…

  11. Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet

    psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
    October 27, 2021 - Study Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals Citation Text: Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectiou…

  12. Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-measurement-tools-used-nursing-homes-systematic-literature-review
    January 11, 2023 - Review Patient safety measurement tools used in nursing homes: a systematic literature review. Citation Text: Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022…

  13. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. | PSNet

    psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
    November 18, 2020 - Study Classic Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Citation Text: Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…

  14. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet

    psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
    July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…

  15. A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. | PSNet

    psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety
    January 23, 2017 - Study A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. Citation Text: Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational …

  16. Evaluation of communication and safety behaviors during hospital-wide code response simulation. | PSNet

    psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
    February 23, 2022 - Study Evaluation of communication and safety behaviors during hospital-wide code response simulation. Citation Text: Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…

  17. A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

    psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services
    November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

  18. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
    November 30, 2022 - Study National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Citation Text: Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…

  19. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. | PSNet

    psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
    June 21, 2023 - Study Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. Citation Text: Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…

  20. Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 | PSNet

    psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
    February 15, 2023 - Book/Report Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 Citation Text: Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …
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