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  1. A simulation-based approach to training in heuristic clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
    January 31, 2024 - Study A simulation-based approach to training in heuristic clinical decision-making. Citation Text: Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084. Copy Citation…

  2. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

    psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
    March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

  3. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
    July 21, 2021 - Study Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. Citation Text: Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…

  4. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-characterisation-patient-safety-hazards-community-pharmacies-using
    January 07, 2015 - Study e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. Citation Text: Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approac…

  5. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
    June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

  6. Role of computerized physician order entry usability in the reduction of prescribing errors. | PSNet

    psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
    June 23, 2021 - Study Role of computerized physician order entry usability in the reduction of prescribing errors. Citation Text: Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…

  7. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

    psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
    August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

  8. The stories clinicians tell: achieving high reliability and improving patient safety. | PSNet

    psnet.ahrq.gov/issue/stories-clinicians-tell-achieving-high-reliability-and-improving-patient-safety
    April 24, 2018 - Commentary The stories clinicians tell: achieving high reliability and improving patient safety. Citation Text: Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. Copy Citation …

  9. Safety requires a state of mindfulness. | PSNet

    psnet.ahrq.gov/issue/safety-requires-state-mindfulness
    May 02, 2018 - Newspaper/Magazine Article Safety requires a state of mindfulness. Citation Text: Safety requires a state of mindfulness. ISMP Medication Safety Alert! Acute care edition. July 31, 2014. Copy Citation Save Save to your library Print Download PDF …

  10. Appendix F. Interventions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
    January 01, 2015 - Simple strategies to avoid medication errors Yes Yes Moderate Strategies for patients and providers to … avoid medication errors in practice. … Prevent medication mix-ups Yes Yes Suggestive Guidelines for patients to prevent medication errors.

  11. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
    June 29, 2022 - Emergency department crowding is linked to medication errors and other preventable harm .

  12. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet

    psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
    August 21, 2005 - errors, with over half of all hospital medication errors occurring at discharge or transfer to the care … Management of Sepsis May 31, 2023 Systemic defenses to prevent intravenous medication … errors in hospitals: a systematic review. … Start Date: an Unknown Risk of E-prescribing October 30, 2019 Preventing medication … errors in hospitals through a systems approach and technological innovation: a prescription for 2010

  13. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
    January 01, 2011 - Adverse drug events and medication errors: detection and classification methods. … Variables associated with medication errors in pediatric emergency medicine. … Profiles in patient safety: medication errors in the emergency department. … Medication errors and adverse drug events in pediatric inpatients. … Medication errors and adverse drug events in pediatric inpatients.

  14. Surgeon | Digital Healthcare Research

    digital.ahrq.gov/population/surgeon
    January 01, 2024 - Care Delivery through Health Information Technology Preventing Perioperative Medication … Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report Citation … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38086/psn-pdf
    May 05, 2018 - https://psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential This article discusses a medication … error associated with a new smart pump system and describes strategies to prevent errors when well-established

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44161/psn-pdf
    December 19, 2018 - safety-mind-mental-health-services-and-patient-safety https://psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837703/psn-pdf
    July 20, 2022 - family-safety-reporting-hospitalized-children-medical-complexity https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity

  18. Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still
    December 21, 2022 - September 1, 2016 Preventing medication errors in hospitals through a systems approach … View More See More About The Topic Engineers Policy Makers Medicine Medication … Errors/Preventable Adverse Drug Events Alert fatigue View More

  19. Are we finally getting serious about medical errors? | PSNet

    psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
    May 11, 2016 - December 1, 2010 Medication errors occurring with the use of bar-code administration

  20. There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety | PSNet

    psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
    November 28, 2012 - allowed residents to report major and minor complications (e.g., unplanned re-operation, infection, medication … error, pressure ulcers). … November 18, 2020 Medication errors in anesthesiology: is it time to train by example
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