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9701. Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. | PSNet
      psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
      October 05, 2022 - Review Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. Citation Text: Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…

9702. Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. | PSNet
      psnet.ahrq.gov/issue/tolerance-uncertainty-and-fears-making-mistakes-among-fifth-year-medical-students
      December 09, 2020 - Study Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Citation Text: Nevalainen M, Kuikka L, Sjoberg L, et al. Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Fam Med. 2012;44(4):240-6. Copy Citation …

9703. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. | PSNet
      psnet.ahrq.gov/issue/realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student
      July 01, 2019 - Review A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. Citation Text: Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes…

9704. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. | PSNet
      psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
      August 16, 2023 - Commentary A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. Citation Text: Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …

9705. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet
      psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
      March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

9706. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. | PSNet
      psnet.ahrq.gov/issue/implicit-bias-and-caring-diverse-populations-pediatric-trainee-attitudes-and-gaps-training
      April 22, 2020 - Study Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Citation Text: Barber Doucet H, Ward VL, Johnson TJ, et al. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Clin Pediatr (Phila). …

9707. The application of the Global Trigger Tool: a systematic review. | PSNet
      psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
      December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

9708. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
      August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

9709. Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. | PSNet
      psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
      December 18, 2017 - Review Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. Citation Text: Lang S, Garrido MV, Heintze C. Patients' views of adverse events in primary and ambulatory care: a…

9710. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet
      psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
      February 01, 2011 - Safer Patients Initiative is a large-scale effort to reduce preventable harm in hospitals, including medication … errors, health care–associated infections , and cardiopulmonary arrests.

9711. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60152/psn-pdf
      March 25, 2020 - Errors during resuscitation: the impact of perceived authority on delivery of care. March 25, 2020 Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359. https://psnet.ahrq.gov/issue/e…

9712. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? | PSNet
      psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing
      August 04, 2021 - Computerized provider order entry (CPOE) systems have been hailed as a solution to prevent medication … errors and improve patient outcomes , particularly when combined with clinical decision support systems

9713. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=19
      January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…

9714. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet
      psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
      March 28, 2012 - July 6, 2012 Medication-error reporting and pharmacy resident experience during implementation

9715. Improving Medication Safety with Accurate e-Prescribing Tool | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-medication-safety-accurate-e-prescribing-tool
      January 01, 2020 - Improving Medication Safety with Accurate e-Prescribing Tool Successful implementation of CancelRx, an e-prescribing functionality to electronically communicate medication discontinuation orders between electronic health records and pharmacies, can improve medication safety and reduce adverse drug events. …

9716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836978/psn-pdf
      May 16, 2022 - Check Twice, Transport Once May 16, 2022 DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/check-twice-transport-once The Case Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal pain and was diagnosed with “s…

9717. Weak oversight allows lab failures to put patients at risk. | PSNet
      psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
      June 12, 2019 - March 11, 2020 At Walgreens, complaints of medication errors go missing.

9718. Learning From Serious Failings in Care: Main Report. | PSNet
      psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
      August 23, 2017 - June 30, 2021 The effect of the fit between organizational culture and structure on medication … errors in medical group practices.

9719. Profiles in patient safety: authority gradients in medical error. | PSNet
      psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
      August 28, 2019 - July 31, 2013 Profiles in patient safety: medication errors in the emergency department

9720. The opioid crisis: can improving diagnosis help solve the problem? | PSNet
      psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
      February 25, 2019 - January 15, 2017 Guardians of grafts: reducing medication errors in transplant recipients