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psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
June 02, 2021 - Study
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study.
Citation Text:
Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…
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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - Study
Classic
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Citation Text:
Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
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psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
January 15, 2009 - Study
The medical emergency team system: a two hospital comparison.
Citation Text:
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error.
Citation Text:
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
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psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
June 15, 2011 - Study
Consumer perceptions of safety in hospitals.
Citation Text:
Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41.
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Study
Computer physician order entry: benefits, costs, and issues.
Citation Text:
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9.
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psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
November 04, 2020 - Study
Making hospital care safer and better: the structure-process connection leading to adverse events.
Citation Text:
El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8.
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psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
October 03, 2013 - Study
A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective.
Citation Text:
Rivera J. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Appl Ergon. 2014;45(3):747-56. doi:10.1016/…
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psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are
October 05, 2022 - Newspaper/Magazine Article
There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs.
Citation Text:
Guirguis A. There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on…
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psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
October 23, 2024 - Commentary
Maximizing student potential: lessons for pharmacy programs from the patient safety movement.
Citation Text:
Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Citation Text:
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…
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psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
May 22, 2015 - Commentary
Safe electronic health record use requires a comprehensive monitoring and evaluation framework.
Citation Text:
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…
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psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
August 16, 2023 - Commentary
A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was.
Citation Text:
Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …
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psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education
June 07, 2023 - Study
Handoff practices in undergraduate medical education.
Citation Text:
Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0.
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psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
August 20, 2018 - Study
Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.
Citation Text:
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - Study
People are more error-prone after committing an error.
Citation Text:
Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y.
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psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
July 13, 2010 - Review
Peer support in anesthesia: turning war stories into wellness.
Citation Text:
Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591.
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psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
August 03, 2022 - Study
Detecting clinical medication errors with AI enabled wearable cameras.
Citation Text:
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
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psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
January 25, 2017 - Commentary
Intentionally harmful violations and patient safety: the example of Harold Shipman.
Citation Text:
Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028.
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psnet.ahrq.gov/issue/medical-errors-and-consequent-adverse-events-critically-ill-surgical-patients-tertiary-care
December 22, 2010 - Study
Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi.
Citation Text:
Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospita…