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Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients

April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. | PSNet

psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental

November 29, 2023 - Study Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. Citation Text: Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):4…

Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. | PSNet

psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care

August 12, 2019 - Study Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. Citation Text: Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwif…

Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study. | PSNet

psnet.ahrq.gov/issue/oncology-nurses-beliefs-and-attitudes-towards-double-check-chemotherapy-medications-cross

September 07, 2016 - Study Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study. Citation Text: Schwappach DLB, Taxis K, Pfeiffer Y. Oncology nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sect…

Risk factors for wrong-patient medication orders in the emergency department. | PSNet

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June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…

Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. | PSNet

psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum

April 24, 2018 - Study Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. Citation Text: Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…

Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. | PSNet

psnet.ahrq.gov/issue/incidence-multiple-sclerosis-misdiagnosis-referrals-two-academic-centers

April 24, 2018 - Study Emerging Classic Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Citation Text: Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Mult Scler Relat Disor…

Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy. | PSNet

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November 20, 2024 - Study Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy. Citation Text: Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qua…

Factors influencing in-hospital prescribing errors: a systematic review. | PSNet

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March 23, 2022 - Review Factors influencing in-hospital prescribing errors: a systematic review. Citation Text: Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in‐hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694. Co…

Does applying technology throughout the medication use process improve patient safety with antineoplastics? | PSNet

psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety

October 30, 2024 - Review Does applying technology throughout the medication use process improve patient safety with antineoplastics? Citation Text: Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…

Fatal flaws in clinical decision making. | PSNet

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March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. | PSNet

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February 02, 2022 - Commentary Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Citation Text: Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error re…

Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet

psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything

November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Citation Text: Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and

November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident

October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. | PSNet

psnet.ahrq.gov/issue/optimizing-medication-management-during-covid-19-pandemic-implementation-guide-post-acute-and

August 16, 2023 - Study Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. Citation Text: Brandt N, Steinman MA. Optimizing Medication Management During the COVID‐19 Pandemic: An Implementation Guide for Post‐Acute and Long‐Term Care. J A…

A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. | PSNet

psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value

November 18, 2020 - Study A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. Citation Text: Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in …

Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. | PSNet

psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically

March 01, 2017 - Book/Report Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. Citation Text: Technical Evaluation, Testing, and Validation of the Usability …

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-climate-infection-prevention-practices-and-healthcare-worker-and

February 13, 2019 - Study Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. Citation Text: Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. Am J In…

Economic analysis of the prevalence and clinical and economic burden of medication error in England. | PSNet

psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england

April 17, 2024 - Study Economic analysis of the prevalence and clinical and economic burden of medication error in England. Citation Text: Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2…

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