AHRQ Search | Home Page

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors

March 17, 2021 - Study Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. Citation Text: Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. | PSNet

psnet.ahrq.gov/issue/alternatives-potentially-inappropriate-medications-use-e-prescribing-software-triggers-and

February 18, 2011 - Study Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. Citation Text: Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and…

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm

October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

Are language barriers associated with serious medical events in hospitalized pediatric patients? | PSNet

psnet.ahrq.gov/issue/are-language-barriers-associated-serious-medical-events-hospitalized-pediatric-patients

November 16, 2022 - Study Classic Are language barriers associated with serious medical events in hospitalized pediatric patients? Citation Text: Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575…

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. | PSNet

psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar

June 28, 2010 - Study Classic Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Citation Text: Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …

Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event

August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

Hospital reputation and perceptions of patient safety. | PSNet

psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety

October 11, 2017 - Study Hospital reputation and perceptions of patient safety. Citation Text: Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152. Copy Citation Format: DOI Google Scholar PubMed BibTe…

Machine learning to enhance electronic detection of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors

December 18, 2024 - Commentary Machine learning to enhance electronic detection of diagnostic errors. Citation Text: Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. Copy Cit…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events

September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

Does time pressure have a negative effect on diagnostic accuracy? | PSNet

psnet.ahrq.gov/issue/does-time-pressure-have-negative-effect-diagnostic-accuracy

January 16, 2019 - Study Does time pressure have a negative effect on diagnostic accuracy? Citation Text: ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. Copy Citation Format: …

Diagnostic errors in primary care pediatrics: Project RedDE. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-redde

April 08, 2018 - Study Diagnostic errors in primary care pediatrics: Project RedDE. Citation Text: Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. Copy Citation Format: DOI Google Sc…

Spreading a medication administration intervention organizationwide in six hospitals. | PSNet

psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals

January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing

June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. | PSNet

psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus

August 15, 2018 - Review Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. Citation Text: Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic,…

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. | PSNet

psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine

March 12, 2025 - Study Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. Citation Text: Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…

The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing

August 03, 2017 - Review The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. Citation Text: Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…

Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. | PSNet

psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol

October 19, 2022 - Study Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. Citation Text: MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning…

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit

January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health

April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. | PSNet

psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development

February 14, 2017 - Review Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. Citation Text: Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual …

Search AHRQ

Results