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9641. Agreement of expert judgment in causality assessment of adverse drug reactions. | PSNet
      psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
      November 29, 2023 - Study Agreement of expert judgment in causality assessment of adverse drug reactions. Citation Text: Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73. Copy Citation …

9642. Closing the loop: follow-up and feedback in a patient safety program. | PSNet
      psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
      January 04, 2017 - Study Closing the loop: follow-up and feedback in a patient safety program. Citation Text: Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. Copy Citation Format: …

9643. What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. | PSNet
      psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
      March 02, 2022 - Study What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. Citation Text: Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…

9644. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. | PSNet
      psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
      June 07, 2017 - Study Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. Citation Text: Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-20…

9645. Omissions of care in nursing home settings: a narrative review. | PSNet
      psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
      November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

9646. Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. | PSNet
      psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
      October 19, 2022 - Study Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. Citation Text: Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE ord…

9647. Interventions targeted at reducing diagnostic error: systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
      March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. Copy Citation Forma…

9648. Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. | PSNet
      psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
      January 22, 2025 - Study Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. Citation Text: Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…

9649. Bar-coding surgical sponges to improve safety: a randomized controlled trial.   | PSNet
      psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial
      March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial.   Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

9650. Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. | PSNet
      psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
      June 30, 2021 - Study Classic Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. Citation Text: Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…

9651. Fatigue and risk: are train drivers safer than doctors? | PSNet
      psnet.ahrq.gov/issue/fatigue-and-risk-are-train-drivers-safer-doctors
      September 03, 2016 - August 5, 2015 Preventing high-alert medication errors in hospital patients. … April 4, 2018 Prevalence and Economic Burden of Medication Errors in the NHS England.

9652. Safety Culture in EMS | PSNet
      psnet.ahrq.gov/perspective/safety-culture-ems
      May 26, 2021 - I've had a medication error. … If there is fear, I’m not going to come forward with a medication error. … but I would like to know what the percentage of falls are in my career field, what the percentage of medication … errors are in my career field.

9653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43673/psn-pdf
      November 19, 2014 - Work-arounds observed by fourth-year nursing students. November 19, 2014 Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students Accordi…

9654. ISMP Survey on High-Alert Medications in Acute Care Settings. | PSNet
      psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
      January 26, 2023 - Measurement Tool/Indicator ISMP Survey on High-Alert Medications in Acute Care Settings. Citation Text: ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. Copy Citation Save Save to yo…

9655. Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet
      psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
      September 01, 2018 - September 20, 2011 Successful remediation of patient safety incidents: a tale of two medication … errors.

9656. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet
      psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
      September 01, 2018 - September 20, 2011 Successful remediation of patient safety incidents: a tale of two medication … errors.

9657. Medical team training improves team performance: AOA critical issues. | PSNet
      psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
      April 24, 2018 - , 2021 Care homes' use of medicines study: prevalence, causes and potential harm of medication … errors in care homes for older people.

9658. Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. | PSNet
      psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
      April 17, 2024 - The attitudes and beliefs of healthcare professionals on the causes and reporting of medication … errors in a UK intensive care unit.

9659. From harm to hope and purposeful action: what could we do after Francis? | PSNet
      psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
      August 01, 2016 - Implementation of a discharge education program to improve transitions of care for patients at high risk of medication … errors.

9660. Patient expectations of fair complaint handling in hospitals: empirical data. | PSNet
      psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empirical-data
      September 25, 2024 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication … errors.