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Implementation of patient safety structures and processes in the patient-centered medical home. | PSNet

psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home

September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…

Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative

August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. | PSNet

psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine

November 16, 2022 - Study Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. Citation Text: Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…

Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet

psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow

January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. Citation Text: Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…

A mixed-methods systematic review of interventions to address incivility in nursing. | PSNet

psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing

December 02, 2020 - Review A mixed-methods systematic review of interventions to address incivility in nursing. Citation Text: Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/0148483…

Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. | PSNet

psnet.ahrq.gov/issue/prevalence-and-predictors-adverse-events-older-surgical-patients-impact-present-admission

October 04, 2023 - Study Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Citation Text: Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indi…

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis

April 20, 2022 - Study Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Citation Text: Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Drugs Ag…

Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. | PSNet

psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and

July 11, 2007 - Study Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Citation Text: Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…

Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac

June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

Building physician work hour regulations from first principles and best evidence. | PSNet

psnet.ahrq.gov/issue/building-physician-work-hour-regulations-first-principles-and-best-evidence

April 24, 2018 - Commentary Building physician work hour regulations from first principles and best evidence. Citation Text: Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. Copy Citation…

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2011

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of H…

Chemotherapy errors: a call for a standardized approach to measurement and reporting. | PSNet

psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting

October 28, 2020 - Commentary Chemotherapy errors: a call for a standardized approach to measurement and reporting. Citation Text: Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…

Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. | PSNet

psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children

September 09, 2015 - Review Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. Citation Text: Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J C…

Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/comparison-intensive-care-unit-medication-errors-reported-united-states-medmarx-and-united

December 29, 2014 - Study Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. Citation Text: Wahr JA, Shore AD, Harris LH, et al. Comparison of intensive care unit medication er…

How to prevent or reduce prescribing errors: an evidence brief for policy authors. | PSNet

psnet.ahrq.gov/issue/how-prevent-or-reduce-prescribing-errors-evidence-brief-policy-authors

July 27, 2022 - Review How to prevent or reduce prescribing errors: an evidence brief for policy authors. Citation Text: de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019…

Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. | PSNet

psnet.ahrq.gov/issue/interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews

July 19, 2023 - Review Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Citation Text: Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database…

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. | PSNet

psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety

November 26, 2014 - Study Classic Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Citation Text: O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…

More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet

psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety

September 02, 2016 - Congressional Testimony More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Citation Text: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…

Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. | PSNet

psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported

January 22, 2016 - Study Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. Citation Text: Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verifi…

Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. | PSNet

psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state

August 25, 2021 - Study Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Citation Text: Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …

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