-
psnet.ahrq.gov/issue/feeling-safe-context-digitalization-healthcare-scoping-review
May 04, 2022 - Review
Feeling safe in the context of digitalization in healthcare: a scoping review.
Citation Text:
Minartz P, Aumann CM, Vondeberg C, et al. Feeling safe in the context of digitalization in healthcare: a scoping review. Syst Rev. 2024;13(1):62. doi:10.1186/s13643-024-02465-9.
Copy Ci…
-
psnet.ahrq.gov/issue/medication-rounds-tool-promote-medication-safety-children-medical-complexity
February 12, 2020 - Commentary
Medication rounds: a tool to promote medication safety for children with medical complexity.
Citation Text:
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):2…
-
psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review
January 15, 2025 - Review
The role of AI in detecting and mitigating human errors in safety-critical industries: a review.
Citation Text:
Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Reliability Eng System Saf. 2025;25…
-
psnet.ahrq.gov/issue/review-medication-errors-are-new-or-likely-occur-more-frequently-electronic-medication
August 18, 2021 - Study
Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.
Citation Text:
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medicatio…
-
psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study
August 05, 2020 - Study
Implementation strategies in the context of medication reconciliation: a qualitative study.
Citation Text:
Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:1…
-
psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
February 15, 2011 - Study
"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.
Citation Text:
Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…
-
psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.
Citation Text:
Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…
-
psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - Study
Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.
Citation Text:
Battar S, Dickerson KRW, Sedgwick C, et al. Understand…
-
psnet.ahrq.gov/node/39836/psn-pdf
September 08, 2010 - Drug errors are dangerous but preventable.
September 8, 2010
https://psnet.ahrq.gov/issue/drug-errors-are-dangerous-preventable
This newspaper article describes steps patients can take to prevent medication errors in the physician's
office, the pharmacy, and at home.
https://psnet.ahrq.gov/issue/drug-errors-are-da…
-
psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Pocket Syringe Swap
Citation Text:
Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
-
psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room
Citation Text:
Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
-
psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - Medication Administration Errors
March 12, 2021
MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/medication-administration-errors
Updated in March 2021. Originally published in January 2018 by researchers at the University of California,
San Fra…
-
psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis…
-
psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
-
psnet.ahrq.gov/node/39150/psn-pdf
June 10, 2018 - Shakespeare was on target—don't be a borrower or
lender.
June 10, 2018
https://psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
This piece describes the dangers of "borrowing" dispensed medications as a workaround in the presence of
pharmacy delays and shares strategies to eliminate the pract…
-
psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Pharmacies should dispense
liquid medications that come in bulk bottles in unit-dose cups or oral syringes
-
psnet.ahrq.gov/node/34021/psn-pdf
March 07, 2005 - Focusing on Medical Errors.
March 7, 2005
Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199.
https://psnet.ahrq.gov/issue/focusing-medical-errors
This issue provides a review of medical error from a variety of perspectives, including pediatrics,
anesthesiology, pharmacy, pathology, laboratory medicine, and insurers.…
-
psnet.ahrq.gov/node/36257/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7
This monthly selection of medication error reports provides examples of problems related to poorly
scanned pharmacy orders, ambiguous labeling, and abbreviation use.
https://psnet.ah…
-
psnet.ahrq.gov/node/40827/psn-pdf
October 05, 2011 - Educating for Safety.
October 5, 2011
Am J Pharm Edu. 2011;75(7):e140-e143.
https://psnet.ahrq.gov/issue/educating-safety
This special section discusses strategies for integrating safety concepts into pharmacy curricula to promote
safe medication practice.
https://psnet.ahrq.gov/issue/educating-safety
http…
-
psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
January 26, 2023 - More
Related Resources
ISMP Targeted Medication Safety Best Practices for Community … Pharmacy.