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The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication

February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. | PSNet

psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency

February 28, 2024 - Review Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Citation Text: Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…

Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center

September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

Bar-coding surgical sponges to improve safety: a randomized controlled trial. | PSNet

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March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial. Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. | PSNet

psnet.ahrq.gov/issue/estimating-impact-patient-safety-enabling-digital-transfer-patients-prescription-information

May 24, 2023 - Study Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. Citation Text: Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription…

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. | PSNet

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June 03, 2020 - Study Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Citation Text: Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. | PSNet

psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors

July 19, 2023 - Study Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. Citation Text: Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet

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October 28, 2020 - Study Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Citation Text: Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…

Cost-benefit analysis of a medical emergency team in a children's hospital. | PSNet

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November 06, 2015 - Study Cost-benefit analysis of a medical emergency team in a children's hospital. Citation Text: Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140. Copy Citation …

The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years

November 17, 2021 - Study The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. Citation Text: Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet

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August 18, 2021 - Study Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Citation Text: Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public …

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. | PSNet

psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration

August 04, 2021 - Study "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. Citation Text: Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet

psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality

May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through

April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program. | PSNet

psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement

January 20, 2015 - Study Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program. Citation Text: McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the …

Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet

psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare

April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…

Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. | PSNet

psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system

October 06, 2011 - Study Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Citation Text: Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication o…

Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. | PSNet

psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses

March 22, 2023 - Study Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. Citation Text: Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. | PSNet

psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital

September 01, 2016 - Study Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. Citation Text: Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hos…

Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. | PSNet

psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter

June 08, 2016 - Study Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. Citation Text: Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…

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