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Frequency of passive EHR alerts in the ICU: another form of alert fatigue? | PSNet

psnet.ahrq.gov/issue/frequency-passive-ehr-alerts-icu-another-form-alert-fatigue

January 23, 2017 - Study Frequency of passive EHR alerts in the ICU: another form of alert fatigue? Citation Text: Kizzier-Carnahan V, Artis KA, Mohan V, et al. Frequency of Passive EHR Alerts in the ICU: Another Form of Alert Fatigue? J Patient Saf. 2019;15(3):246-250. doi:10.1097/PTS.0000000000000270. …

Personal health records: a randomized trial of effects on elder medication safety. | PSNet

psnet.ahrq.gov/issue/personal-health-records-randomized-trial-effects-elder-medication-safety

November 16, 2022 - Study Personal health records: a randomized trial of effects on elder medication safety. Citation Text: Chrischilles EA, Hourcade JP, Doucette W, et al. Personal health records: a randomized trial of effects on elder medication safety. J Am Med Inform Assoc. 2014;21(4):679-86. doi:10.113…

Implementation of safeguards to improve patient safety in chemotherapy. | PSNet

psnet.ahrq.gov/issue/implementation-safeguards-improve-patient-safety-chemotherapy

September 19, 2012 - Study Implementation of safeguards to improve patient safety in chemotherapy. Citation Text: Huertas-Fernández MJ, Martínez-Bautista Mª J, Rodríguez-Mateos ME, et al. Implementation of safeguards to improve patient safety in chemotherapy. Clin Transl Oncol. 2017;19(9):1099-1106. doi:10.1…

More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? | PSNet

psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england

December 18, 2017 - Study More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Citation Text: Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…

Factors influencing incident reporting in surgical care. | PSNet

psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care

March 03, 2011 - Study Factors influencing incident reporting in surgical care. Citation Text: Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. Copy Citation Format: …

Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. | PSNet

psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american

February 03, 2011 - Organizational Policy/Guidelines Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. Citation Text: Michaels AD, Spinler SA, Leeper B, et al. Medication Errors in Acute Cardiovascular and Stroke Patients. Circulatio…

A systematic review of the psychological literature on interruption and its patient safety implications. | PSNet

psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications

September 24, 2016 - Review Classic A systematic review of the psychological literature on interruption and its patient safety implications. Citation Text: Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…

AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report

June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet

psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive

July 14, 2010 - Study Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Citation Text: Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. | PSNet

psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence

April 03, 2005 - Review Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Citation Text: Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent

April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

System-related interventions to reduce diagnostic errors: a narrative review. | PSNet

psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review

May 29, 2015 - Review Classic System-related interventions to reduce diagnostic errors: a narrative review. Citation Text: Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. do…

Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health

September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk

January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…

Defining and studying errors in surgical care: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review

July 20, 2022 - Review Defining and studying errors in surgical care: a systematic review. Citation Text: Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. Copy Citation F…

The PROMISES Project. | PSNet

psnet.ahrq.gov/issue/promises-project

January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. | PSNet

psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates

October 19, 2022 - Study Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. Citation Text: Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE ord…

Pictograms, units and dosing tools, and parent medication errors: a randomized study. | PSNet

psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study

December 14, 2016 - Study Pictograms, units and dosing tools, and parent medication errors: a randomized study. Citation Text: Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3…

Patient-mediated interventions to improve professional practice. | PSNet

psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice

April 25, 2016 - Review Emerging Classic Patient-mediated interventions to improve professional practice. Citation Text: Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. | PSNet

psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs

September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…

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