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An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting

March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

Association of safety culture with surgical site infection outcomes. | PSNet

psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

Medical large language models are vulnerable to data-poisoning attacks. | PSNet

psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks

November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet

psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level

February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

Ambulatory medication safety in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/ambulatory-medication-safety-primary-care-systematic-review

February 22, 2023 - Review Ambulatory medication safety in primary care: a systematic review. Citation Text: Young RA, Fulda KG, Espinoza A, et al. Ambulatory medication safety in primary care: a systematic review. J Am Board Fam Med. 2022;35(3):610-628. doi:10.3122/jabfm.2022.03.210334. Copy Citation …

Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. | PSNet

psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home

August 11, 2021 - Study Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. Citation Text: de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC P…

Patient safety concerns arising from test results that return after hospital discharge. | PSNet

psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

January 17, 2012 - Study Classic Patient safety concerns arising from test results that return after hospital discharge. Citation Text: Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…

The care transitions intervention: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial

July 10, 2008 - Study Classic The care transitions intervention: results of a randomized controlled trial. Citation Text: Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions

August 11, 2021 - Review Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. Citation Text: Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …

Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. | PSNet

psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and

October 26, 2022 - Study Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. Citation Text: Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication administration errors and a…

Medication reconciliation in oncological patients: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-oncological-patients-randomized-clinical-trial

March 09, 2022 - Study Medication reconciliation in oncological patients: a randomized clinical trial. Citation Text: Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:…

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety

June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. | PSNet

psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years

October 19, 2022 - Study Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Citation Text: Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…

Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. | PSNet

psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three

February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. Citation Text: Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center…

Improving patient safety in intensive care units in Michigan. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan

February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. | PSNet

psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and

April 05, 2023 - Study Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. Citation Text: Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. | PSNet

psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication

May 21, 2009 - Study Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry

May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

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…

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