-
psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
July 26, 2023 - Commentary
Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.
Citation Text:
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …
-
psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
September 02, 2020 - Study
Engaging the patient as observer to promote hand hygiene compliance in ambulatory care.
Citation Text:
Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25.
Copy Citation
…
-
psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
May 15, 2024 - Study
Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.
Citation Text:
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…
-
psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
March 28, 2011 - Study
Classic
Information exchange among physicians caring for the same patient in the community.
Citation Text:
van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):…
-
psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve
March 20, 2013 - Review
Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.
Citation Text:
Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…
-
psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - Study
Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.
Citation Text:
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…
-
psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
March 17, 2021 - Review
Summary and frequency of barriers to adoption of CPOE in the US.
Citation Text:
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2.
Copy Citation
Format:
DOI Google Scholar Pub…
-
psnet.ahrq.gov/issue/opioid-prescribing-decreases-after-learning-patients-fatal-overdose
January 18, 2023 - Study
Emerging Classic
Opioid prescribing decreases after learning of a patient's fatal overdose.
Citation Text:
Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose. Science. 2018;361(6402):588-590. doi:10…
-
psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication
February 23, 2009 - Study
Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.
Citation Text:
Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medi…
-
psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
February 18, 2011 - Study
Classic
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
Citation Text:
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
-
psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Study
Classic
Cost–benefit analysis of a support program for nursing staff.
Citation Text:
Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376.
Co…
-
psnet.ahrq.gov/issue/impact-independent-chemotherapy-prescribing-advanced-practice-providers-patient-safety-and
November 16, 2022 - Study
The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction.
Citation Text:
LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safe…
-
psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
May 27, 2011 - Study
Classic
Relationship between medication errors and adverse drug events.
Citation Text:
Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205.
Copy Citation
Format:…
-
psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
November 11, 2020 - Commentary
Honesty and transparency, indispensable to the clinical mission--Parts I-III.
Citation Text:
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.o…
-
psnet.ahrq.gov/issue/using-participatory-design-engage-physicians-development-provider-level-performance-dashboard
October 28, 2020 - Study
Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.
Citation Text:
Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a provider-level performance da…
-
psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
January 19, 2022 - Review
Perceptions of U.S. and U.K. incident reporting systems: a scoping review.
Citation Text:
Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231.
Copy Citat…
-
psnet.ahrq.gov/node/37382/psn-pdf
February 06, 2018 - IHI Lucian Leape Institute.
February 6, 2018
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/ihinpsf-lucian-leape-institute
This organization prepares recommendations and reports, provides opportunities for collaboration, and
outlines the direction of strategic efforts in patient safety.
https:…
-
psnet.ahrq.gov/node/37778/psn-pdf
May 21, 2008 - Health Care Professionals Tools.
May 21, 2008
Little Rock, AR: National Transitions of Care Coalition; April 2008.
https://psnet.ahrq.gov/issue/health-care-professionals-tools
This Web site provides tools for providers to improve patient safety during transitions, including a
medication card, care transitions chec…
-
psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
-
psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
View more articles from the same authors.
Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…