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4101. Reducing diagnostic errors—why now? | PSNet
      psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
      July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

4102. Selecting indicators for patient safety at the health system level in OECD countries. | PSNet
      psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
      June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

4103. High reliability of care in orthopedic surgery: are we there yet? | PSNet
      psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet
      November 23, 2011 - Review High reliability of care in orthopedic surgery: are we there yet? Citation Text: Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011. Copy Citat…

4104. Medication errors and trainees: advice for learners and organizations. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
      April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

4105. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. | PSNet
      psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors
      October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…

4106. The diagnostic moment: a study in US primary care. | PSNet
      psnet.ahrq.gov/issue/diagnostic-moment-study-us-primary-care
      June 16, 2021 - Study The diagnostic moment: a study in US primary care. Citation Text: Heritage J. The diagnostic moment: a study in US primary care. Soc Sci Med. 2019;228:262-271. doi:10.1016/j.socscimed.2019.03.022. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

4107. The patient died: what about involvement in the investigation process? | PSNet
      psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
      June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

4108. Teaching students to administer medications safely. | PSNet
      psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
      December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…

4109. Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. | PSNet
      psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
      January 23, 2017 - Study Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. Citation Text: Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …

4110. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
      September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

4111. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet
      psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
      December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Citation Text: Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …

4112. Defining speaking up in the healthcare system: a systematic review. | PSNet
      psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
      September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

4113. Neonatal near-miss audits: a systematic review and a call to action. | PSNet
      psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
      August 04, 2021 - Review Neonatal near-miss audits: a systematic review and a call to action. Citation Text: Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. Copy Citation Format…

4114. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet
      psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice
      August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

4115. Medication safety systems and the important role of pharmacists. | PSNet
      psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
      July 19, 2023 - Review Medication safety systems and the important role of pharmacists. Citation Text: Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. Copy Citation Format: DOI Google Scholar PubMed …

4116. FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. | PSNet
      psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-devices-among-patients
      March 04, 2015 - Press Release/Announcement FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. Citation Text: FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. FDA Safety Communication. Silver Spring, MD: US …

4117. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. | PSNet
      psnet.ahrq.gov/issue/joint-commissions-new-and-revised-workplace-violence-prevention-standards-hospitals-major
      April 27, 2022 - Commentary The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. Citation Text: Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a majo…

4118. Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet
      psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
      December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

4119. Characterization of prescribing errors in an internal medicine clinic. | PSNet
      psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
      March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

4120. Safe Administration of Medication in School: Policy Statement. | PSNet
      psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement
      May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…