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  1. Disclosure programmes in the US--an inadequate response to medical error. | PSNet

    psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
    October 25, 2023 - Commentary Disclosure programmes in the US--an inadequate response to medical error. Citation Text: Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318. Copy Citation Format: DOI Google Scholar BibT…

  2. The simulated ward: ideal for training clinical clerks in an era of patient safety. | PSNet

    psnet.ahrq.gov/issue/simulated-ward-ideal-training-clinical-clerks-era-patient-safety
    July 27, 2022 - Study The simulated ward: ideal for training clinical clerks in an era of patient safety. Citation Text: Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050…

  3. Promethazine adverse events after implementation of a medication shortage interchange. | PSNet

    psnet.ahrq.gov/issue/promethazine-adverse-events-after-implementation-medication-shortage-interchange
    October 26, 2010 - Study Promethazine adverse events after implementation of a medication shortage interchange. Citation Text: Sheth HS, Verrico MM, Skledar S, et al. Promethazine adverse events after implementation of a medication shortage interchange. Ann Pharmacother. 2005;39(2):255-61. Copy Citation …

  4. Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
    July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

  5. Saying goodbye. | PSNet

    psnet.ahrq.gov/issue/saying-goodbye
    September 11, 2019 - Commentary Saying goodbye. Citation Text: DeFilippis EM. Saying Goodbye. JAMA Intern Med. 2017;177(11):1565. doi:10.1001/jamainternmed.2017.4017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  6. Essay: the political logic of regulatory error. | PSNet

    psnet.ahrq.gov/issue/essay-political-logic-regulatory-error
    July 10, 2017 - Commentary Essay: the political logic of regulatory error. Citation Text: Carpenter D, Ting MM. Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  7. Improving communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/improving-communication-emergency-department
    September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  8. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
    February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

  9. Learning safe prescribing during post-take ward rounds. | PSNet

    psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
    August 14, 2013 - Newspaper/Magazine Article Learning safe prescribing during post-take ward rounds. Citation Text: Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. Copy Citation …

  10. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
    January 02, 2017 - Commentary John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. Citation Text: Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …

  11. Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet

    psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
    March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

  12. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

    psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
    July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…

  13. A 2-year study of patient safety competency assessment in 29 clinical laboratories. | PSNet

    psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories
    December 14, 2016 - Study A 2-year study of patient safety competency assessment in 29 clinical laboratories. Citation Text: Reed RC, Kim S, Farquharson K, et al. A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. Am J Clin Pathol. 2008;129(6). doi:10.1309/bm8jje1auca408tq…

  14. Weaving a healthcare tapestry of safety and communication. | PSNet

    psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
    September 29, 2017 - Commentary Weaving a healthcare tapestry of safety and communication. Citation Text: Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. Copy Citation Format: DOI Google…

  15. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
    May 04, 2010 - Study The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Citation Text: Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…

  16. New solutions to reduce wrong route medication errors. | PSNet

    psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
    March 20, 2019 - Review New solutions to reduce wrong route medication errors. Citation Text: Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. Copy Citation Format: DOI Google Scholar PubMed Bib…

  17. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
    April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

  18. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

    psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

  19. When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. | PSNet

    psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
    October 19, 2022 - Commentary When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. Citation Text: Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…

  20. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…
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