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  1. Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. | PSNet

    psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
    September 01, 2021 - Study Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. Citation Text: Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit …

  2. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. | PSNet

    psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
    December 14, 2011 - Study Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Citation Text: Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. do…

  3. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet

    psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
    June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

  4. Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/developing-conceptual-framework-patient-safety-culture-emergency-department-review-literature
    March 02, 2011 - Review Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. Citation Text: Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…

  5. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. | PSNet

    psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
    September 23, 2020 - Study Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. Citation Text: Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards …

  6. Paying the piper: investing in infrastructure for patient safety.  | PSNet

    psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
    July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety.  Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

  7. Understanding the clinical implications of resident involvement in uncommon operations. | PSNet

    psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations
    October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon operations. Citation Text: Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…

  8. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet

    psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
    December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Citation Text: Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …

  9. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. | PSNet

    psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
    August 17, 2022 - Study Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. Citation Text: Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medic…

  10. Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
    August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Citation Text: Armada ER, Villamañán E, López-de-Sá E, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescriptio…

  11. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. | PSNet

    psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point
    August 02, 2011 - Study Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. Citation Text: Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot st…

  12. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. | PSNet

    psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
    November 03, 2021 - Review Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. Citation Text: Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…

  13. Reporting of unsafe conditions at an academic women and children's hospital. | PSNet

    psnet.ahrq.gov/issue/reporting-unsafe-conditions-academic-women-and-childrens-hospital
    December 09, 2020 - Study Reporting of unsafe conditions at an academic women and children's hospital. Citation Text: Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.202…

  14. Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom
    November 02, 2011 - Study Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…

  15. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

    psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
    October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

  16. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. | PSNet

    psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
    December 14, 2016 - Review Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Citation Text: Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2…

  17. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. | PSNet

    psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
    December 17, 2014 - Study Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. Citation Text: De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric an…

  18. Beyond the team: understanding interprofessional work in two North American ICUs. | PSNet

    psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
    January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…

  19. Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/development-and-interrater-agreement-novel-classification-system-combining-medical-and
    September 20, 2011 - Study Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. Citation Text: Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…

  20. Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. | PSNet

    psnet.ahrq.gov/issue/cross-check-qa-quality-assurance-workflow-prevent-missed-diagnoses-alerting-inadvertent
    March 04, 2015 - Study Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. Citation Text: Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…
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