-
psnet.ahrq.gov/node/844050/psn-pdf
February 08, 2023 - Using automated methods to detect safety problems with
health information technology: a scoping review.
February 8, 2023
Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health
information technology: a scoping review. J Am Med Inform Assoc. 2022;30(2):382-392.
doi:10.1093/…
-
psnet.ahrq.gov/node/45216/psn-pdf
June 08, 2016 - Ambulatory computerized prescribing and preventable
adverse drug events.
June 8, 2016
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse
Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
https://psnet.ahrq.gov/issue/ambulatory-computeriz…
-
psnet.ahrq.gov/node/60177/psn-pdf
April 01, 2020 - What do emergency department physicians and nurses
feel? A qualitative study of emotions, triggers, regulation
strategies, and effects on patient care.
April 1, 2020
Isbell LM, Boudreaux ED, Chimowitz H, et al. What do emergency department physicians and nurses feel?
A qualitative study of emotions, triggers, regu…
-
psnet.ahrq.gov/node/42758/psn-pdf
October 17, 2016 - Suffering in silence: a qualitative study of second victims
of adverse events.
October 17, 2016
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of
adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
https://psnet.ahrq.gov/issue/suffer…
-
psnet.ahrq.gov/node/45829/psn-pdf
June 27, 2018 - Learning from errors: analysis of medication order
voiding in CPOE systems.
June 27, 2018
Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order
voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw187.
https://psnet.ahrq.gov/issue/le…
-
psnet.ahrq.gov/node/41131/psn-pdf
February 15, 2012 - Effects of two commercial electronic prescribing systems
on prescribing error rates in hospital in-patients: a before
and after study.
February 15, 2012
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on
prescribing error rates in hospital in-patients: a before and …
-
psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in
Reducing Harm, Improving Care.
July 7, 2010
Washington DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
The landmark Institute of Medicine (IOM) report, To Err Is Human,…
-
psnet.ahrq.gov/node/34892/psn-pdf
February 03, 2011 - Effects of computerized clinical decision support systems
on practitioner performance and patient outcomes: a
systematic review.
February 3, 2011
Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems on
Practitioner Performance and Patient Outcomes. JAMA. 2005;293(10):…
-
psnet.ahrq.gov/node/48143/psn-pdf
January 01, 2020 - Assessing the safety of electronic health records: a
national longitudinal study of medication-related decision
support.
August 7, 2019
Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national
longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
-
psnet.ahrq.gov/node/72774/psn-pdf
February 24, 2021 - Preventable adverse drug events causing hospitalisation:
identifying root causes and developing a surveillance and
learning system at an urban community hospital, a cross-
sectional observational study.
February 24, 2021
de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…
-
psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Computerized Provider Order Entry and Patient Safety
January 1, 2015
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
Annual Perspective 2015
Computerized provider order entry…
-
psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—II. The Duke Experience
May 1, 2005
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
Pe…
-
psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - Culture of Safety
Citation Text:
Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
-
psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Cita…
-
psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Book/Report
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Citation Text:
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …
-
psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
August 02, 2015 - Commentary
Saving without compromising: teaching trainees to safely provide high value care.
Citation Text:
Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003.
…
-
psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry-system
March 09, 2011 - Study
Designing decision support for insulin ordering in a computerized provider order entry system.
Citation Text:
Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4…
-
psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
June 19, 2019 - Study
Health care provider factors associated with patient-reported adverse events and harm.
Citation Text:
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
-
psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
March 14, 2016 - Commentary
Should health care providers be forced to apologise after things go wrong?
Citation Text:
McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y.
Copy Citation
…
-
psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
May 01, 2024 - Review
Emerging Classic
Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature.
Citation Text:
Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…