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  1. Project BOOST implementation: lessons learned. | PSNet

    psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
    August 21, 2013 - Study Project BOOST implementation: lessons learned. Citation Text: Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  2. Cognitive bias and dissonance in surgical practice: a narrative review. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
    June 25, 2018 - Review Cognitive bias and dissonance in surgical practice: a narrative review. Citation Text: Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. Copy Citatio…

  3. Recovery from medical errors: the critical care nursing safety net. | PSNet

    psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
    February 18, 2011 - Study Recovery from medical errors: the critical care nursing safety net. Citation Text: Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72. Copy Citation Format: G…

  4. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. | PSNet

    psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
    August 04, 2021 - Study Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Citation Text: Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electro…

  5. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. | PSNet

    psnet.ahrq.gov/issue/hidden-curriculum-and-residents-attitudes-about-medical-error-disclosure-comparison-surgical
    September 30, 2020 - Study The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. Citation Text: Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and no…

  6. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
    February 24, 2011 - Study Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…

  7. Prescribing in 2019: what are the safety concerns? | PSNet

    psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
    December 21, 2022 - Review Prescribing in 2019: what are the safety concerns? Citation Text: Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  8. Computerized physician order entry in US hospitals: results of a 2002 survey. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-us-hospitals-results-2002-survey
    April 29, 2018 - Study Computerized physician order entry in US hospitals: results of a 2002 survey. Citation Text: Ash JS, Gorman PN, Seshadri V, et al. Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J Am Med Inform Assoc. 2004;11(2):95-9. Copy Citation Format: …

  9. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. | PSNet

    psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
    February 02, 2022 - Study Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. Citation Text: Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/j…

  10. Adverse drug events in surgical patients: an observational multicentre study. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-surgical-patients-observational-multicentre-study
    January 18, 2013 - Government Resource Adverse drug events in surgical patients: an observational multicentre study. Citation Text: de Boer M, Boeker EB, Ramrattan MA, et al. Adverse drug events in surgical patients: an observational multicentre study. Int J Clin Pharm. 2013;35(5):744-52. doi:10.1007/s110…

  11. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
    September 23, 2020 - Commentary Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. Citation Text: Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …

  12. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
    March 11, 2013 - Study Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Citation Text: Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…

  13. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. | PSNet

    psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
    September 09, 2020 - Commentary Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Citation Text: Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/…

  14. Adverse drug event reporting in intensive care units: a survey of current practices. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-reporting-intensive-care-units-survey-current-practices
    December 16, 2020 - Study Adverse drug event reporting in intensive care units: a survey of current practices. Citation Text: Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73. Copy Citation Format: …

  15. Medical error disclosure training: evidence for values-based ethical environments. | PSNet

    psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
    October 15, 2016 - Study Medical error disclosure training: evidence for values-based ethical environments. Citation Text: Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. Cop…

  16. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
    February 01, 2011 - Study Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Citation Text: Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…

  17. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. | PSNet

    psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
    January 05, 2017 - Study Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Citation Text: Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. Copy Citation Format: Go…

  18. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
    November 16, 2022 - Study Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Citation Text: Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …

  19. Implementation of computerized prescriber order entry in four academic medical centers. | PSNet

    psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers
    May 18, 2022 - Commentary Implementation of computerized prescriber order entry in four academic medical centers. Citation Text: Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…

  20. Work overload is related to increased risk of error during chemotherapy preparation. | PSNet

    psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation
    June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…
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