AHRQ Search | Home Page

Out-of-hospital medication errors: a 6-year analysis of the national poison data system. | PSNet

psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system

September 08, 2010 - Study Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Citation Text: Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. | PSNet

psnet.ahrq.gov/issue/pharmacists-interventions-prescribing-errors-hospital-discharge-observational-study-context

October 16, 2012 - Study Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. Citation Text: Abdel-Qader DH, Harper L, Cantrill JA, et al. Pharmacists' interventions in prescribing erro…

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department

May 29, 2019 - Study Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Citation Text: Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …

Implementation of an emergency department sign-out checklist improves transfer of information at shift change. | PSNet

psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift

October 30, 2019 - Study Implementation of an emergency department sign-out checklist improves transfer of information at shift change. Citation Text: Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…

The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized

April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations

March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. | PSNet

psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric

November 16, 2015 - Study Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. Citation Text: Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…

Patient safety issues from information overload in electronic medical records. | PSNet

psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records

May 04, 2022 - Review Patient safety issues from information overload in electronic medical records. Citation Text: Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. C…

Incidence and severity of medication reconciliation discrepancies in trauma patients. | PSNet

psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients

October 19, 2022 - Study Incidence and severity of medication reconciliation discrepancies in trauma patients. Citation Text: Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/000313482311616…

Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action

March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

Time of day effects on the incidence of anesthetic adverse events. | PSNet

psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events

January 03, 2017 - Study Time of day effects on the incidence of anesthetic adverse events. Citation Text: Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. Copy Citation Format: Google Sch…

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. | PSNet

psnet.ahrq.gov/issue/factors-contributing-medication-errors-made-when-using-computerized-order-entry-pediatrics

May 08, 2017 - Review Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. Citation Text: Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systemat…

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. | PSNet

psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration

May 27, 2011 - Study The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Citation Text: Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…

Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review

August 29, 2018 - Review Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. Citation Text: Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J …

Operational failures and interruptions in hospital nursing. | PSNet

psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing

November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field-electronic

May 20, 2019 - Study Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. Citation Text: Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inf…

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Learning Health Systems | PSNet

psnet.ahrq.gov/issue/learning-health-systems

December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Shifting the learning curve. | PSNet

psnet.ahrq.gov/issue/shifting-learning-curve

March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Learning from Investigations. | PSNet

psnet.ahrq.gov/issue/learning-investigations

July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

Search AHRQ

Results