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  1. Duty hours restriction and their effect on resident education and academic departments: the American perspective. | PSNet

    psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
    November 16, 2022 - Review Duty hours restriction and their effect on resident education and academic departments: the American perspective. Citation Text: Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…

  2. Framing patient safety initiatives: working model and case example. | PSNet

    psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
    April 05, 2017 - Commentary Framing patient safety initiatives: working model and case example. Citation Text: Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204. Copy Citation Format: Google Scholar PubMed B…

  3. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. | PSNet

    psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
    February 03, 2011 - Study Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. Citation Text: Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…

  4. Discrepant advanced directives and code status orders: a preventable medical error. | PSNet

    psnet.ahrq.gov/issue/discrepant-advanced-directives-and-code-status-orders-preventable-medical-error
    October 31, 2018 - Journal Article Discrepant advanced directives and code status orders: a preventable medical error. Citation Text: Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm…

  5. Wear face masks with no metal during MRI exams. | PSNet

    psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
    April 08, 2020 - Press Release/Announcement Wear face masks with no metal during MRI exams. Citation Text: Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. Copy Citation …

  6. Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). | PSNet

    psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip
    December 16, 2020 - Press Release/Announcement Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). Citation Text: Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…

  7. National patterns of codeine prescriptions for children in the emergency department. | PSNet

    psnet.ahrq.gov/issue/national-patterns-codeine-prescriptions-children-emergency-department
    November 16, 2022 - Study National patterns of codeine prescriptions for children in the emergency department. Citation Text: Kaiser S, Asteria-Peñaloza R, Vittinghoff E, et al. National patterns of codeine prescriptions for children in the emergency department. Pediatrics. 2014;133(5):e1139-47. doi:10.1542…

  8. As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

    psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
    December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

  9. COVID-19: to be or not to be; that is the diagnostic question. | PSNet

    psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question
    September 02, 2020 - Commentary COVID-19: to be or not to be; that is the diagnostic question. Citation Text: Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question. Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979. Copy Citation …

  10. From HRO to HERO: making health equity a core system capability. | PSNet

    psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
    September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

  11. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

    psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
    September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

  12. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

  13. Analysis of a medication safety intervention in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
    August 02, 2012 - Study Analysis of a medication safety intervention in the pediatric emergency department. Citation Text: Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jama…

  14. Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

    psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
    May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

  15. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
    April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

  16. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  17. How informatics nurses use bar code technology to reduce medication errors. | PSNet

    psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
    August 04, 2021 - Commentary How informatics nurses use bar code technology to reduce medication errors. Citation Text: Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. Copy Citation Format:…

  18. Do HSMRs really measure patient safety?  | PSNet

    psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety?  Citation Text: Do HSMRs really measure patient safety?  Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

  19. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. | PSNet

    psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national
    May 13, 2015 - Study Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Citation Text: Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…

  20. Validity of selected patient safety indicators: opportunities and concerns. | PSNet

    psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
    June 04, 2014 - Study Validity of selected patient safety indicators: opportunities and concerns. Citation Text: Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…
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