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Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. | PSNet

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November 28, 2016 - Study Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. Citation Text: Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…

Analysing potential harm in Australian general practice: an incident-monitoring study. | PSNet

psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study

July 29, 2020 - Study Classic Analysing potential harm in Australian general practice: an incident-monitoring study. Citation Text: Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident-monitoring study. Med J Aust. 1998;1…

Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). | PSNet

psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process

September 23, 2020 - Commentary Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). Citation Text: Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Impr…

Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet

psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system

April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Citation Text: Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. Washington, DC: Department of Vet…

Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet

psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism

April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

Early cost and safety benefits of an inpatient electronic health record. | PSNet

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August 04, 2021 - Study Early cost and safety benefits of an inpatient electronic health record. Citation Text: Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health record. Journal of the American Medical Informatics Association. 2011;18(2). doi:10.1136/ja…

Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet

psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care

December 19, 2018 - Study Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. Citation Text: Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 20…

Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. | PSNet

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October 06, 2016 - Study Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. Citation Text: Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and g…

Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. | PSNet

psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom

November 02, 2011 - Study Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…

A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet

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October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order

March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. | PSNet

psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda

May 01, 2019 - Study More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. Citation Text: Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. | PSNet

psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings

October 30, 2013 - Study The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. Citation Text: Hemingway S, McCann T, Baxter H, et al. The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. Int J N…

Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve

March 20, 2013 - Review Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. Citation Text: Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation

September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions

August 11, 2021 - Review Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. Citation Text: Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review

January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Does full disclosure of medical errors affect malpractice liability? The jury is still out. | PSNet

psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out

November 16, 2011 - Review Classic Does full disclosure of medical errors affect malpractice liability? The jury is still out. Citation Text: Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…

Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. | PSNet

psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital

July 20, 2022 - Study Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Citation Text: Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. | PSNet

psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication

May 21, 2009 - Study Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…

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