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  1. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  2. Please reconcile, not wait a while. | PSNet

    psnet.ahrq.gov/issue/please-reconcile-not-wait-while
    April 19, 2023 - Commentary Please reconcile, not wait a while. Citation Text: Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. Copy Citation Format: DOI Google Scholar BibTe…

  3. How often do physicians review medication charts on ward rounds? | PSNet

    psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

  4. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. | PSNet

    psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
    September 23, 2020 - Study Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Citation Text: Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. …

  5. Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. | PSNet

    psnet.ahrq.gov/issue/time-out-impact-physician-burnout-patient-care-quality-and-safety-perioperative-medicine
    November 03, 2021 - Commentary Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. Citation Text: Shin P, Desai V, Conte AH, et al. Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. Perm J. 2023;27(2):1…

  6. Abdominal pain in the emergency department: missed diagnoses. | PSNet

    psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
    September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

  7. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. | PSNet

    psnet.ahrq.gov/issue/patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and
    July 08, 2020 - Study Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. Citation Text: McMullan M, Jones R, Lea S. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. J Adv Nurs. 2010;66(4). …

  8. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

    psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

  9. Inaccuracies in assignment of clinical stage for localized prostate cancer. | PSNet

    psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
    April 06, 2022 - Study Inaccuracies in assignment of clinical stage for localized prostate cancer. Citation Text: Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596. Copy Citation Fo…

  10. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
    June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

  11. Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. | PSNet

    psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
    August 24, 2022 - Study Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. Citation Text: Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …

  12. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. | PSNet

    psnet.ahrq.gov/issue/medication-errors-hiv-infected-hospitalized-patients-pharmacists-impact
    November 16, 2022 - Study Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Citation Text: Eginger KH, Yarborough LL, Inge LDV, et al. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Ann Pharmacother. 2013;47(7-8):953-60. doi:10.1345/aph.1R773.…

  13. Inadequate preoperative team briefings lead to more intraoperative adverse events. | PSNet

    psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
    June 07, 2023 - Study Inadequate preoperative team briefings lead to more intraoperative adverse events. Citation Text: Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. Cop…

  14. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet

    psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
    January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

  15. Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
    February 03, 2011 - Review Association between organisational and workplace cultures, and patient outcomes: systematic review. Citation Text: Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). do…

  16. Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet

    psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
    April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

  17. High-alert medications in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
    December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

  18. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. | PSNet

    psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
    October 04, 2011 - Study Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Citation Text: Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …

  19. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. | PSNet

    psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
    April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…

  20. Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. | PSNet

    psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-use-error-reports-accidental
    June 22, 2011 - Press Release/Announcement Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. Citation Text: Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. MedWatch Safety Al…
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