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How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet

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March 17, 2021 - Study How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. Citation Text: Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation o…

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. | PSNet

psnet.ahrq.gov/issue/effect-two-different-electronic-health-record-user-interfaces-intensive-care-provider-task

March 16, 2022 - Study The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. Citation Text: Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensi…

A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication

May 11, 2022 - Study A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. Citation Text: Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…

Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. | PSNet

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November 16, 2022 - Study Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. Citation Text: Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …

Determining medication errors in an adult intensive care unit. | PSNet

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February 15, 2017 - Study Determining medication errors in an adult intensive care unit. Citation Text: Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788. Copy Cita…

Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet

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February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. | PSNet

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December 07, 2022 - Study Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. Citation Text: Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …

Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet

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May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

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June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet

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March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…

Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie

February 14, 2024 - Study Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. Citation Text: Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. | PSNet

psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify

May 25, 2022 - Study Classic Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. Citation Text: Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…

Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. | PSNet

psnet.ahrq.gov/issue/estimating-impact-patient-safety-enabling-digital-transfer-patients-prescription-information

May 24, 2023 - Study Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. Citation Text: Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription…

Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. | PSNet

psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk

January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …

Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department

July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet

psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led

February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet

psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect

March 13, 2019 - Study Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. Citation Text: Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order en…

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet

psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety

June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…

Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet

psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events

July 02, 2014 - Study Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Citation Text: Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…

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