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Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

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June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. | PSNet

psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies

February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…

Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. | PSNet

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May 01, 2004 - Study Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. Citation Text: Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective

March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

Barcoded medication administration: a last line of defense. | PSNet

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November 06, 2015 - Commentary Barcoded medication administration: a last line of defense. Citation Text: Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. Copy Citation Format: DOI Google Scholar PubMe…

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

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December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

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November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet

psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study

April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…

Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet

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March 06, 2013 - Study Housestaff and medical student attitudes toward medical errors and adverse events. Citation Text: Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. Copy Cita…

The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. | PSNet

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June 08, 2022 - Study The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. Citation Text: Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…

Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. | PSNet

psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical

October 19, 2022 - Study Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. Citation Text: Balanean A, Bland E, Gajra A, et al. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical inter…

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. | PSNet

psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network

October 19, 2022 - Study Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. Citation Text: Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…

A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet

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November 17, 2021 - Study A review of adverse event reports from emergency departments in the Veterans Health Administration. Citation Text: Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…

Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. | PSNet

psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature

October 09, 2024 - Review Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. Citation Text: Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …

Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. | PSNet

psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety

May 20, 2020 - Study Emerging Classic Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Citation Text: Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet

psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients

August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. | PSNet

psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews

August 24, 2016 - Study Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. Citation Text: Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…

Use of e-triggers to identify diagnostic errors in the paediatric ED. | PSNet

psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed

October 27, 2021 - Study Use of e-triggers to identify diagnostic errors in the paediatric ED. Citation Text: Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683. Copy Citation For…

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet

psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory

April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…

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