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Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. | PSNet

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May 20, 2020 - Study Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. Citation Text: Weingart SN, Nelson J, Koethe B, et al. Developing a cancer‐specific trigger tool to identify treatment‐related adverse events using administrative data.…

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital

November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. | PSNet

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June 27, 2018 - Study Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. Citation Text: Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-based inpatient medication orde…

Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. | PSNet

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June 14, 2023 - Study Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. Citation Text: Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU:…

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. | PSNet

psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ

November 16, 2022 - Study User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. Citation Text: Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…

Risk factors associated with medication ordering errors. | PSNet

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December 02, 2020 - Study Risk factors associated with medication ordering errors. Citation Text: Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. Copy Citation Format: DOI …

Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. | PSNet

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November 16, 2016 - Study Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. Citation Text: Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology d…

How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet

psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision

March 17, 2021 - Study How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. Citation Text: Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation o…

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. | PSNet

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August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …

Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet

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May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. | PSNet

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June 08, 2022 - Study A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Citation Text: Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Australas Emerg C…

Harm prevalence due to medication errors involving high-alert medications: a systematic review | PSNet

psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review

June 19, 2024 - Study Harm prevalence due to medication errors involving high-alert medications: a systematic review Citation Text: Sodré Alves BMC, de Andrade TNG, Cerqueira Santos S, et al. Harm prevalence due to medication errors involving high-alert medications: a systematic review. J Patient Saf. 2…

Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

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July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet

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October 05, 2022 - Study Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. Citation Text: Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med I…

Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet

psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events

July 02, 2014 - Study Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Citation Text: Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…

Electronic health record–related events in medical malpractice claims. | PSNet

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April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. | PSNet

psnet.ahrq.gov/issue/systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes-acute-care

December 16, 2020 - Review Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Citation Text: Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-4…

Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet

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April 29, 2018 - Study Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. Citation Text: Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…

CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. | PSNet

psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain

October 13, 2018 - Study CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Citation Text: Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Healt…

Duplicate medication order errors: safety gaps and recommendations for improvement. | PSNet

psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement

March 22, 2023 - Study Duplicate medication order errors: safety gaps and recommendations for improvement. Citation Text: Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. Co…

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