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psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
July 29, 2020 - Commentary
Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems.
Citation Text:
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…
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psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - Commentary
Improving medication administration safety in a community hospital setting using Lean methodology.
Citation Text:
Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
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psnet.ahrq.gov/issue/principles-pediatric-patient-safety-reducing-harm-due-medical-care
May 22, 2019 - Organizational Policy/Guidelines
Principles of pediatric patient safety: reducing harm due to medical care.
Citation Text:
Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - Safety in the Prehospital Emergency Medical Services
Setting
May 1, 2019
Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet].
2019.
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
Perspective
Emergency medical services (E…
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to
Promote a Culture of Safety
April 1, 2006
Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a
Culture of Safety. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
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psnet.ahrq.gov/node/42562/psn-pdf
June 09, 2015 - Sustaining quality improvement and patient safety
training in graduate medical education: lessons from
social theory.
June 9, 2015
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in
graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…
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psnet.ahrq.gov/node/37983/psn-pdf
November 03, 2008 - A prospective study of factors influencing the outcome of
patients after a Medical Emergency Team review.
November 3, 2008
Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after
a Medical Emergency Team review. Intensive Care Med. 2008;34(11):2112-6. doi:10.10…
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psnet.ahrq.gov/node/42000/psn-pdf
March 06, 2013 - Measurement and training of TeamSTEPPS dimensions
using the Medical Team Performance Assessment Tool.
March 6, 2013
Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the
Medical Team Performance Assessment Tool. Jt Comm J Qual Patient Saf. 2013;39(2):89-95.
https://psnet…
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psnet.ahrq.gov/node/38614/psn-pdf
February 15, 2011 - Effect of a pharmacist on adverse drug events and
medication errors in outpatients with cardiovascular
disease.
February 15, 2011
Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors
in outpatients with cardiovascular disease. Arch Intern Med. 2009;169(8):757-63.
…
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psnet.ahrq.gov/node/35108/psn-pdf
April 06, 2011 - Improving medication management for patients: the effect
of a pharmacist on post-admission ward rounds.
April 6, 2011
Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist
on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/34722/psn-pdf
April 07, 2011 - A preliminary taxonomy of medical errors in family
practice.
April 7, 2011
Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual
Saf Health Care. 2002;11(3):233-8.
https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
Efforts to improv…
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psnet.ahrq.gov/node/34902/psn-pdf
February 27, 2009 - Hospital rules-based system: the next generation of
medical informatics for patient safety.
February 27, 2009
Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics
for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505.
https://psnet.ahrq.gov/issue/hospit…
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psnet.ahrq.gov/node/40199/psn-pdf
March 03, 2011 - Perspective: malpractice in an academic medical center: a
frequently overlooked aspect of professionalism
education.
March 3, 2011
Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a
frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365-8.…
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psnet.ahrq.gov/node/40527/psn-pdf
June 15, 2011 - Online medication error graphic reports: a pilot in North
Carolina nursing homes.
June 15, 2011
Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina
nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4eab.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/50849/psn-pdf
January 29, 2020 - Prescription drug overload: critics fighting to curb an
epidemic of medication side effects.
January 29, 2020
Weisman R. Boston Globe. January 13, 2020.
https://psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-
effects
Polypharmacy is a known contributor to adverse dr…
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psnet.ahrq.gov/node/40730/psn-pdf
August 27, 2012 - Analysis of risk of medical errors using structural-
equation modelling: a 6-month prospective cohort study.
August 27, 2012
Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation
modelling: a 6-month prospective cohort study. BMJ Qual Saf. 2012;21(9):784-790. doi:10.1136/…
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care.
October 20, 2021
Patient Safety Movement. October 29, 2021.
https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This
webinar …
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psnet.ahrq.gov/node/42551/psn-pdf
May 21, 2019 - Should medical malpractice prevention be considered
separately or as an integral part of comprehensive health
care safety improvement?
May 21, 2019
Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of
comprehensive health care safety improvement? Am J Obstet Gynecol. 2…
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psnet.ahrq.gov/node/35175/psn-pdf
June 23, 2009 - Overnight and postcall errors in medication orders.
June 23, 2009
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med.
2005;12(7):629-34.
https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
This study examined the incidence of prescribing errors…