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Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial. | PSNet

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May 15, 2013 - Study Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial. Citation Text: Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication prescription errors in th…

Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. | PSNet

psnet.ahrq.gov/issue/meaningful-use-stage-2-e-prescribing-threshold-and-adverse-drug-events-medicare-part-d

July 05, 2017 - Study Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. Citation Text: Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population w…

Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. | PSNet

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November 16, 2022 - Study Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Citation Text: Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…

Contributing factors identified by hospital incident report narratives. | PSNet

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January 02, 2017 - Study Contributing factors identified by hospital incident report narratives. Citation Text: Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721. Copy Cit…

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. | PSNet

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March 13, 2012 - Study Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Citation Text: Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accur…

Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. | PSNet

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June 30, 2011 - Review Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. Citation Text: McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of intravenous medicines: a systematic rev…

Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. | PSNet

psnet.ahrq.gov/issue/healthcare-system-intervention-safer-use-medicines-elderly-patients-primary-care-qualitative

June 20, 2012 - Study Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. Citation Text: Lenander C, Bondesson Å, Midlöv P, et al. Healthcare…

Novel telephone-based interactive voice response system for incident reporting. | PSNet

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September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

Emergency intubation of children outside of the operating room. | PSNet

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May 27, 2011 - Study Emergency intubation of children outside of the operating room. Citation Text: Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. Copy Citation Format: DOI G…

Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. | PSNet

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June 09, 2021 - Study Emerging Classic Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. Citation Text: Kakemam E, Kalhor R, Khakdel Z, et al. Occupational stress and cognitive failure o…

Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. | PSNet

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August 07, 2024 - Study Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. Citation Text: Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…

Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. | PSNet

psnet.ahrq.gov/issue/effect-distractions-operative-performance-and-ability-multitask-case-deliberate-practice

September 15, 2010 - Study Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. Citation Text: Ahmed A, Ahmad M, Stewart M, et al. Effect of distractions on operative performance and ability to multitask--a case for deliberate practice. Laryngoscope. 2015;1…

No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). | PSNet

psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-research-hospital-and-patient-safety-1996-2007

January 04, 2010 - Review No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). Citation Text: Tzeng H-M, Yin C-Y. No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). J Nurs Care Qual. 2007;22(4):299-306. Copy Citation Format: …

A 60-year-old man with delayed care for a renal mass. | PSNet

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January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet

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June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

The surgical ward round checklist: improving patient safety and clinical documentation. | PSNet

psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation

March 17, 2021 - Study The surgical ward round checklist: improving patient safety and clinical documentation. Citation Text: Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JM…

Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet

psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses

July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

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June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

The problems of detecting medication errors in hospitals. | PSNet

psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals

February 01, 2012 - Study Classic The problems of detecting medication errors in hospitals. Citation Text: Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. Copy Citation …

A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. | PSNet

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October 14, 2020 - Study A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. Citation Text: Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…

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