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9861. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-416
      November 29, 2023 - Double checking of medication administration one strategy meant to reduce medication errors.

9862. First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. | PSNet
      psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
      March 29, 2007 - health care information technology implementation, problems such as hospital-acquired infections and medication … errors persist.

9863. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet
      psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
      January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

9864. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet
      psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
      July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

9865. Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. | PSNet
      psnet.ahrq.gov/issue/measuring-experiences-and-outcomes-patient-safety-primary-care-systematic-review-available
      April 25, 2018 - Review Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. Citation Text: Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of ava…

9866. How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet
      psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
      February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

9867. Associations between healthcare environment design and adverse events in intensive care unit. | PSNet
      psnet.ahrq.gov/issue/associations-between-healthcare-environment-design-and-adverse-events-intensive-care-unit
      August 17, 2022 - Study Associations between healthcare environment design and adverse events in intensive care unit. Citation Text: Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:1…

9868. The nurse's experience of decision-making processes in missed nursing care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
      May 11, 2022 - Study The nurse's experience of decision-making processes in missed nursing care: a qualitative study. Citation Text: Abdelhadi N, Drach‐Zahavy A, Srulovici E. The nurse’s experience of decision‐making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-217…

9869. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
      June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…

9870. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. | PSNet
      psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience-3-us
      June 06, 2018 - Study A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. Citation Text: Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcar…

9871. Safety incidents in the primary care office setting. | PSNet
      psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
      October 12, 2016 - Study Safety incidents in the primary care office setting. Citation Text: Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. Copy Citation Format: DOI Google Scholar PubMed B…

9872. Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular
      March 16, 2022 - Review Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. Citation Text: Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…

9873. Patient safety climate: a study of Southern California healthcare organizations. | PSNet
      psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
      June 26, 2019 - Study Patient safety climate: a study of Southern California healthcare organizations. Citation Text: Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. Copy Citati…

9874. Perceived disability-based discrimination in health care for children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity
      November 16, 2022 - Study Perceived disability-based discrimination in health care for children with medical complexity. Citation Text: Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …

9875. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet
      psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
      July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

9876. Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
      July 08, 2020 - Study Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. Citation Text: Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…

9877. Analysis of laboratory critical value reporting at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
      December 05, 2013 - Study Analysis of laboratory critical value reporting at a large academic medical center. Citation Text: Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. Copy Citation For…

9878. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet
      psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
      April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

9879. Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. | PSNet
      psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
      December 07, 2022 - Study Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Citation Text: Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12. Copy Citation …

9880. A novel process audit for standardized perioperative handoff protocols. | PSNet
      psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
      June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…