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What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. | PSNet

psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-perspective

June 02, 2010 - Study What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. Citation Text: Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104.…

Does error and adverse event reporting by physicians and nurses differ? | PSNet

psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

February 24, 2011 - Study Does error and adverse event reporting by physicians and nurses differ? Citation Text: Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. Copy Citation Format: G…

Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced

May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. | PSNet

psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and

May 08, 2017 - Study Classic Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. Citation Text: Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication error…

Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. | PSNet

psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk

June 05, 2024 - Study Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. Citation Text: Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk …

Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. | PSNet

psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

May 26, 2021 - Review Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. Citation Text: Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systemati…

Impact of introducing an electronic physiological surveillance system on hospital mortality. | PSNet

psnet.ahrq.gov/issue/impact-introducing-electronic-physiological-surveillance-system-hospital-mortality

December 19, 2018 - Study Impact of introducing an electronic physiological surveillance system on hospital mortality. Citation Text: Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:…

Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. | PSNet

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June 14, 2017 - Study Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. Citation Text: Al-Qahtani S, Al-Dorzi HM, Tamim HM, et al. Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-w…

Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet

psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey

April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: 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…

Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition

October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. | PSNet

psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological

July 20, 2022 - Study Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Citation Text: Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet

psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication

August 26, 2020 - Study Classic Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. Citation Text: Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients

February 16, 2022 - Study Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. Citation Text: Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…

Review of computerized physician handoff tools for improving the quality of patient care. | PSNet

psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care

September 07, 2011 - Review Review of computerized physician handoff tools for improving the quality of patient care. Citation Text: Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. C…

Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. | PSNet

psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment

June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…

Malpractice claims related to diagnostic errors in the hospital. | PSNet

psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital

September 16, 2020 - Study Classic Malpractice claims related to diagnostic errors in the hospital. Citation Text: Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. …

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. | PSNet

psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns

January 19, 2022 - Study Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. Citation Text: Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…

Enhancing patient safety and risk management through clinical pathways in oncology. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology

September 13, 2023 - Study Enhancing patient safety and risk management through clinical pathways in oncology. Citation Text: Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…

Incorrect surgical procedures within and outside of the operating room. | PSNet

psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room

November 21, 2011 - Study Incorrect surgical procedures within and outside of the operating room. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. Copy Citation F…

The $17.1 billion problem: the annual cost of measurable medical errors. | PSNet

psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors

May 26, 2021 - Study Classic The $17.1 billion problem: the annual cost of measurable medical errors. Citation Text: Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…

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