-
psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
-
psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679
serious events and incidents from the nation’s largest
event reporting database.
May 17, 2023
Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents
from the nation’s largest event reporting database. Patient Saf.…
-
psnet.ahrq.gov/node/45055/psn-pdf
December 04, 2016 - Analysis of clinical decision support system
malfunctions: a case series and survey.
December 4, 2016
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case
series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005.
https://psnet.ah…
-
psnet.ahrq.gov/node/867337/psn-pdf
December 11, 2024 - Perspectives on anesthesia and perioperative patient
safety: past, present, and future.
December 11, 2024
Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past,
present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164.
https://psnet…
-
psnet.ahrq.gov/node/836857/psn-pdf
April 06, 2022 - Increased mortality and costs associated with adverse
events in intensive care unit patients.
April 6, 2022
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in
intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081.
doi:10.1177/08850666221084908.
…
-
psnet.ahrq.gov/node/37997/psn-pdf
June 16, 2011 - Revealing and resolving patient safety defects: the impact
of leadership WalkRounds on frontline caregiver
assessments of patient safety.
June 16, 2011
Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of
leadership WalkRounds on frontline caregiver assessments of p…
-
psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Characteristics of medication errors and adverse drug
events in hospitals participating in the California Pediatric
Patient Safety Initiative.
November 12, 2008
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in
hospitals participating in the California Pediatri…
-
psnet.ahrq.gov/node/46529/psn-pdf
November 08, 2017 - Automatable algorithms to identify nonmedical opioid use
using electronic data: a systematic review.
November 8, 2017
Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using
electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210.
doi:10.10…
-
psnet.ahrq.gov/node/37803/psn-pdf
January 06, 2017 - Paying the piper: investing in infrastructure for patient
safety.
January 6, 2017
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety.
Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…
-
psnet.ahrq.gov/node/73698/psn-pdf
September 15, 2021 - Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized
clinical trial.
September 15, 2021
Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized clinical tria…
-
psnet.ahrq.gov/node/849125/psn-pdf
May 17, 2023 - Vestibular syndromes, diagnosis and diagnostic errors in
patients with dizziness presenting to the emergency
department: a cross-sectional study.
May 17, 2023
Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with
dizziness presenting to the emergency department…
-
psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - Outside case review of surgical pathology for referred
patients: the impact on patient care.
April 10, 2013
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients:
the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA.
htt…
-
psnet.ahrq.gov/node/45174/psn-pdf
November 18, 2016 - Patient safety events and harms during medical and
surgical hospitalizations for persons with serious mental
illness.
November 18, 2016
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical
Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
-
psnet.ahrq.gov/node/862991/psn-pdf
February 21, 2024 - Exploring the role of guidelines in contributing to
medication errors: a descriptive analysis of national
patient safety incident data.
February 21, 2024
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a
descriptive analysis of national patient safety incide…
-
psnet.ahrq.gov/node/47930/psn-pdf
May 01, 2019 - Evolving quality improvement support strategies to
improve Plan–Do–Study–Act cycle fidelity: a retrospective
mixed-methods study.
May 1, 2019
McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to improve
Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study. …
-
psnet.ahrq.gov/node/60245/psn-pdf
April 22, 2020 - Unprecedented solutions for extraordinary times: helping
long-term care settings deal with the COVID-19 pandemic.
April 22, 2020
Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term
care settings deal with the COVID-19 pandemic. Infect Control Hosp Epidemiol. 2020;41…
-
psnet.ahrq.gov/node/39598/psn-pdf
September 20, 2011 - A July spike in fatal medication errors: a possible effect
of new medical residents.
September 20, 2011
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents.
J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3.
https://psnet.ahrq.gov/issue/july-…
-
psnet.ahrq.gov/node/47286/psn-pdf
July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017
analysis—part 1 and part 2.
July 18, 2018
ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;23:1-4,6,7.
https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-
2
Mistakes in t…
-
psnet.ahrq.gov/node/38891/psn-pdf
January 04, 2010 - Do calculation errors by nurses cause medication errors
in clinical practice? A literature review.
January 4, 2010
Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review.
Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/842764/psn-pdf
January 18, 2023 - Medication use evaluation of high-dose long-term opioid
de-prescribing in multiple Veterans Affairs medical
centers.
January 18, 2023
Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-
prescribing in multiple Veterans Affairs medical centers. J Gen Intern Med. 20…