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1. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
   psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
   December 18, 2019 - Omission errors were commonly identified by all three methods, but identification of other errors varied … The contributing factors also varied by method, but in general, communication issues and human factors

2. Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. | PSNet
   psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
   December 21, 2022 - provider order entry (CPOE) reliably reduces medication errors , clinical decision support has more varied … All three hospitals implemented clinical decision support, but the type, nature, and efficacy varied

3. Varying rates of patient identity verification when using computerized provider order entry. | PSNet
   psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
   July 07, 2021 - The rate of patient identification overall was 62%, but the rate varied by CPOE system.

4. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/73347/psn-pdf
   June 02, 2021 - Although interventions varied, there were international similarities in workplace norms and culture.

5. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet
   psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review
   January 15, 2025 - Rates of abuse and misuse varied across countries, typically due to drug availability.

6. US emergency department visits attributed to medication harms, 2017-2019. | PSNet
   psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
   December 15, 2021 - Visits to emergency departments for medication adverse events varied by age group, medication class,

7. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet
   psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
   January 30, 2019 - Specifically, the authors stress the need to maintain effective and varied communication within a system

8. Causes for medical errors in obstetrics and gynaecology. | PSNet
   psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
   May 01, 2019 - The risk factors varied between developed and developing countries.

9. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. | PSNet
   psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
   January 17, 2024 - The size, aim, and AI model varied widely, preventing comparisons across studies.

10. Engaging as partners in patient safety: the experience of librarians. | PSNet
    psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
    June 01, 2016 - This survey explores the varied roles that medical librarians play in searching for and disseminating

11. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47119/psn-pdf
    September 19, 2018 - and two used Cerner EHRs, the number of clicks per task, time to task completion, and error rates varied

12. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet
    psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations
    March 29, 2023 - participants were more likely to respond positively to the accommodating tone, but the impact of seniority varied

13. ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet
    psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
    February 06, 2019 - physicians found that although most reported participating in end-of-shift handoffs , the handoff process varied

14. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet
    psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
    September 09, 2020 - events at approximately the same rate, the coping methods utilized and effectiveness of the methods varied

15. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet
    psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
    December 02, 2020 - members reported experiencing at least one RSS or NMS in the past year, responses to other survey items varied

16. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. | PSNet
    psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
    April 20, 2022 - review of reviews found higher nurse staffing was generally associated with positive outcomes, results varied

17. Drug-related problems among older people with dementia: a systematic review. | PSNet
    psnet.ahrq.gov/issue/drug-related-problems-among-older-people-dementia-systematic-review
    January 12, 2022 - the prevalence of medication-related problems among patients with dementia or cognitive impairments varied

18. Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet
    psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
    June 27, 2011 - The perception of safety culture varied widely across units and across all domains of the survey.

19. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet
    psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
    October 25, 2023 - Overall, most incidents occurred at the prescribing stage, but varied by patient age group.

20. What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. | PSNet
    psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
    March 29, 2023 - Emphasis on patient safety and quality improvement skills varied by specialty.