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Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. | PSNet

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October 19, 2022 - Study Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. Citation Text: Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

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September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

Ten years later, alarm fatigue is still a safety concern. | PSNet

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October 25, 2023 - Commentary Ten years later, alarm fatigue is still a safety concern. Citation Text: Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. Copy Citation Format: …

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

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March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. | PSNet

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May 29, 2019 - Commentary Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. Citation Text: Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…

Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet

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November 20, 2015 - Study Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. Citation Text: Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…

Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet

psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge

July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. Citation Text: Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…

Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet

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August 28, 2024 - Study Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. Citation Text: Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…

Toward learning from patient safety reporting systems. | PSNet

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January 02, 2017 - Study Toward learning from patient safety reporting systems. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet

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December 02, 2014 - Study Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Citation Text: Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(…

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. | PSNet

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February 03, 2011 - Study Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. Citation Text: Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of…

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. | PSNet

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May 27, 2011 - Study Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. Citation Text: Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent …

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

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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…

Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet

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January 07, 2015 - Book/Report Classic Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. Citation Text: Efforts To Improve …

Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet

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April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. Citation Text: Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department

February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study

April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

Parent–provider miscommunications in hospitalized children. | PSNet

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May 08, 2017 - Study Parent–provider miscommunications in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. Copy Citation Format: DOI Google Sc…

Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. | PSNet

psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety

July 12, 2017 - Study Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. Citation Text: Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…

Development of a core drug list towards improving prescribing education and reducing errors in the UK. | PSNet

psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk

April 13, 2022 - Study Development of a core drug list towards improving prescribing education and reducing errors in the UK. Citation Text: Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…

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