-
psnet.ahrq.gov/node/35580/psn-pdf
May 27, 2011 - Using two pediatric emergency
physicians who were blinded to the order form type, investigators report
-
psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - Investigators
report the rate of preventable and potential ADEs, the combined event rates by unit type
-
psnet.ahrq.gov/node/34845/psn-pdf
June 30, 2011 - publication, consists of 5 primary
classifications that can be used to classify an error: impact, type
-
psnet.ahrq.gov/node/46505/psn-pdf
August 20, 2018 - The most common type of error was a missed or delayed diagnosis, followed by a
communication error.
-
psnet.ahrq.gov/node/35771/psn-pdf
May 27, 2011 - Hospital in Boston
discovered that the most financially beneficial aspect of CPOE involved the level and type
-
psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - (which included plastic surgery, gastroenterology, gynecology,
and dentistry offices) utilized any type
-
psnet.ahrq.gov/node/844550/psn-pdf
September 01, 2012 - results into the wrong patient’s record but discovering the error before the results
are released is a type
-
psnet.ahrq.gov/node/40128/psn-pdf
January 12, 2011 - significant reduction in PCA errors, chiefly by reducing pump programming errors (the most common type
-
psnet.ahrq.gov/node/45802/psn-pdf
December 12, 2018 - They
also found a positive association between pump compliance and type of pump used as well as a positive
-
psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - Study
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.
Citation Text:
Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…
-
psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration
May 27, 2011 - Study
The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.
Citation Text:
Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med…
-
psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
May 27, 2011 - Study
Computerized provider order entry adoption: implications for clinical workflow.
Citation Text:
Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21-6. doi:10.1007/s11606-008-085…
-
psnet.ahrq.gov/node/42191/psn-pdf
June 25, 2013 - Chemotherapy medication errors in a pediatric cancer
treatment center: prospective characterization of error
types and frequency and development of a quality
improvement initiative to lower the error rate.
June 25, 2013
Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…
-
psnet.ahrq.gov/node/38101/psn-pdf
December 17, 2009 - The unintended consequences of computerized provider
order entry: findings from a mixed methods exploration.
December 17, 2009
Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry:
Findings from a mixed methods exploration. Int J Med Inform. 2008;78. doi:10.1016/j.i…
-
psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - Anatomic pathology databases and patient safety.
June 14, 2011
Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol
Lab Med. 2005;129(10):1246-1251.
https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
This AHRQ-funded project describes the de…
-
psnet.ahrq.gov/node/42513/psn-pdf
January 15, 2014 - A comprehensive patient safety program can significantly
reduce preventable harm, associated costs, and hospital
mortality.
January 15, 2014
Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce
preventable harm, associated costs, and hospital mortality. J Pediat…
-
psnet.ahrq.gov/node/46530/psn-pdf
February 03, 2018 - Identifying and characterizing preventable adverse drug
events for prioritizing pharmacist intervention in
hospitals.
February 3, 2018
Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for
prioritizing pharmacist intervention in hospitals. Am J Health Syst Pharm. 2017…
-
psnet.ahrq.gov/node/35028/psn-pdf
May 27, 2011 - Medication errors and adverse drug events in pediatric
inpatients.
May 27, 2011
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric
inpatients. JAMA. 2001;285(16):2114-20.
https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
This p…
-
psnet.ahrq.gov/node/45772/psn-pdf
January 11, 2017 - Technical Series on Safer Primary Care.
January 11, 2017
Geneva, Switzerland: World Health Organization; 2016.
https://psnet.ahrq.gov/issue/technical-series-safer-primary-care
Much of patient safety research has focused on the hospital setting, but a majority of health care is
delivered in the ambulatory setting. …
-
psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - Lymph
node pathology was reported as "Castleman disease, of hyaline vascular type," while the small … The error rates in pathology also vary by the
type of review. … Castleman's disease—hyaline vascular type—clinical, cytological and
histological features with review