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  1. Identifying medication errors in surgical prescription charts. | PSNet

    psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
    April 17, 2024 - Study Identifying medication errors in surgical prescription charts. Citation Text: Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  2. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…

  3. The effect of nurse staffing patterns on medical errors and nurse burnout.  | PSNet

    psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
    October 11, 2023 - Review The effect of nurse staffing patterns on medical errors and nurse burnout.  Citation Text: Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. Copy Citation Format: DOI G…

  4. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet

    psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

  5. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet

    psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
    September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…

  6. Health care management during Covid-19: insights from complexity science. | PSNet

    psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
    July 22, 2020 - Commentary Health care management during Covid-19: insights from complexity science. Citation Text: Health care management during Covid-19: insights from complexity science. Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020.  Copy Citation Save Save to you…

  7. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet

    psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
    June 16, 2019 - Study Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Citation Text: Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…

  8. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet

    psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
    January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

  9. Strengthening the medical error "meme pool." | PSNet

    psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
    August 08, 2012 - Commentary Strengthening the medical error "meme pool." Citation Text: Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  10. Prevent medication errors: a New Year's resolution: teaching patients about their medications. | PSNet

    psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
    January 18, 2011 - Commentary Prevent medication errors: a New Year's resolution: teaching patients about their medications. Citation Text: Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. Copy Citation F…

  11. Managing the risks of concurrent surgeries. | PSNet

    psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
    September 24, 2017 - Commentary Managing the risks of concurrent surgeries. Citation Text: Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  12. At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. | PSNet

    psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and-medication-safety
    April 13, 2022 - Meeting/Conference Proceedings At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. Citation Text: At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. J Med Toxicol.…

  13. Understanding and attitudes towards patient safety concepts in obstetrics. | PSNet

    psnet.ahrq.gov/issue/understanding-and-attitudes-towards-patient-safety-concepts-obstetrics
    March 29, 2012 - Study Understanding and attitudes towards patient safety concepts in obstetrics. Citation Text: Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics. Int J Gynaecol Obstet. 2007;98(3):212-6. Copy Citation Format: Google Scho…

  14. The challenges in defining and measuring diagnostic error. | PSNet

    psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
    February 24, 2021 - Commentary The challenges in defining and measuring diagnostic error. Citation Text: Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069. Copy Citation Format: DOI Google Scholar PubMed Bi…

  15. Performing the wrong procedure. | PSNet

    psnet.ahrq.gov/issue/performing-wrong-procedure
    April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  16. Teaching the diagnostic process as a model to improve medical education. | PSNet

    psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
    September 20, 2012 - Commentary Teaching the diagnostic process as a model to improve medical education. Citation Text: Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. Copy Citation Format: DOI Google…

  17. Probability error in diagnosis: the conjunction fallacy among beginning medical students. | PSNet

    psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
    June 21, 2017 - Study Probability error in diagnosis: the conjunction fallacy among beginning medical students. Citation Text: Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. Copy Citation Format: Google Scholar P…

  18. Otolaryngologists' responses to errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
    October 27, 2010 - Study Otolaryngologists' responses to errors and adverse events. Citation Text: Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  19. How reliable is your hospital? A qualitative framework for analysing reliability levels. | PSNet

    psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
    October 19, 2022 - Commentary How reliable is your hospital? A qualitative framework for analysing reliability levels. Citation Text: Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. Copy Citation Format…

  20. Reduction in pediatric identification band errors: a quality collaborative. | PSNet

    psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
    March 14, 2022 - Study Reduction in pediatric identification band errors: a quality collaborative. Citation Text: Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. Copy Cit…
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