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8861. Problem list completeness in electronic health records: a multi-site study and assessment of success factors. | PSNet
      psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
      April 29, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.

8862. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. | PSNet
      psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
      April 24, 2018 - November 16, 2022 Medication errors: the impact of prescribing and transcribing errors

8863. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet
      psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
      March 28, 2011 - April 24, 2018 Computerised physician order entry-related medication errors: analysis

8864. The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. | PSNet
      psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions
      September 09, 2020 - August 20, 2018 Medication errors in anesthesiology: is it time to train by example?

8865. Emotionally evocative patients in the emergency department: a mixed methods investigation of providers' reported emotions and implications for patient safety | PSNet
      psnet.ahrq.gov/issue/emotionally-evocative-patients-emergency-department-mixed-methods-investigation-providers
      December 20, 2023 - February 19, 2020 A "back to basics" approach to reduce ED medication errors.

8866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47051/psn-pdf
      October 18, 2018 - Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. October 18, 2018 Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. BMJ Qual S…

8867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36939/psn-pdf
      September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…

8868. Implications for Practice Improvement, Research, and Policy | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
      August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Implications for Practice Improvement, Research, and Policy Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Uniqu…

8869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72535/psn-pdf
      December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…

8870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44054/psn-pdf
      November 16, 2015 - Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. November 16, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4. https://psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2 This newsletter se…

8871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42024/psn-pdf
      February 13, 2013 - The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. February 13, 2013 Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. J Emerg Me…

8872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842919/psn-pdf
      February 01, 2023 - pharmacy technicians focus on performing medication reconciliation on patients with the highest risk of medication … errors. … medication reconciliation in the ED for high-risk patients on insulin to improve communication, avoid medication … errors, and increase provider awareness.

8873. Patient Safety in Primary Care | PSNet
      psnet.ahrq.gov/perspective/patient-safety-primary-care
      January 31, 2020 - Annual Perspective Patient Safety in Primary Care February 21, 2020  View more articles from the same authors. Citation Text: Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…

8874. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. | PSNet
      psnet.ahrq.gov/issue/daytime-sleepiness-sleep-habits-and-occupational-accidents-among-hospital-nurses
      June 19, 2024 - October 21, 2010 Effects of working conditions on intravenous medication errors in a

8875. Undiagnosed breast cancer at MR imaging: analysis of causes. | PSNet
      psnet.ahrq.gov/issue/undiagnosed-breast-cancer-mr-imaging-analysis-causes
      August 22, 2015 - December 18, 2014 Frequency of medication errors with intravenous acetylcysteine for

8876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867599/psn-pdf
      January 22, 2025 - Assessing patient work system factors for medication management during transition of care among older adults: an observational study. January 22, 2025 Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among older adults: an observational st…

8877. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical
      August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

8878. Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet
      psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
      July 24, 2024 - be Error Related to Procedure/Treatment/Test followed by Complication of Procedure/Treatment/Test, Medication … Error, and Fall.

8879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40051/psn-pdf
      December 01, 2010 - Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. December 1, 2010 De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf Health Care. 2010;19(5):371-5. …

8880. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet
      psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology
      February 28, 2024 - smart pumps supported that perception, documenting 65 instances in which those same nurses prevented medication … errors by appropriately utilizing the devices.