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  1. A factorial survey on safety behavior providing opportunities to improve safety. | PSNet

    psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety
    November 16, 2015 - Study A factorial survey on safety behavior providing opportunities to improve safety. Citation Text: Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…

  2. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
    February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

  3. Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

    psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
    February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

  4. Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. | PSNet

    psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
    May 19, 2021 - Review Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. Citation Text: Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…

  5. Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet

    psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
    November 10, 2021 - Study Causes of adverse events in home mechanical ventilation: a nursing perspective. Citation Text: Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. Copy…

  6. Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. | PSNet

    psnet.ahrq.gov/issue/toward-increased-patient-safety-electronic-communication-medication-information-between
    June 23, 2021 - Study Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. Citation Text: Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Informat…

  7. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. | PSNet

    psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
    July 11, 2007 - Study Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Citation Text: Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…

  8. Wrong-site surgery in California, 2007–2014. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
    July 27, 2023 - Study Wrong-site surgery in California, 2007–2014. Citation Text: Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226. Copy Citation Format: DOI Google Scholar Pu…

  9. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. | PSNet

    psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
    October 21, 2020 - Study Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. Citation Text: Okafor NG, Doshi PB, Miller SK, et al. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency de…

  10. Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. | PSNet

    psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
    May 01, 2024 - Study Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. Citation Text: Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering inciden…

  11. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. | PSNet

    psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
    December 16, 2020 - Study Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Citation Text: Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…

  12. Standardizing medication reconciliation in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department
    March 10, 2019 - Study Standardizing medication reconciliation in a pediatric emergency department. Citation Text: Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. …

  13. Human factors analysis of latent safety threats in a pediatric critical care unit. | PSNet

    psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit
    April 28, 2021 - Study Human factors analysis of latent safety threats in a pediatric critical care unit. Citation Text: Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc…

  14. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   | PSNet

    psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational
    July 19, 2023 - Study Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   Citation Text: Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …

  15. Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

    psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
    March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

  16. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. | PSNet

    psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient
    June 13, 2018 - Study Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. Citation Text: Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…

  17. The relationship between hospital systems load and patient harm. | PSNet

    psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm
    November 12, 2008 - Study The relationship between hospital systems load and patient harm. Citation Text: Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. Copy Citation Format…

  18. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
    August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

  19. Increasing patient safety event reporting in an emergency medicine residency. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency
    August 04, 2021 - Commentary Increasing patient safety event reporting in an emergency medicine residency. Citation Text: Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. …

  20. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. | PSNet

    psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
    September 15, 2021 - Study Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. Citation Text: Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation…
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