The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Hirata KM, Kang AH, Ramirez G, et al. Pediatr Emerg Care. 2019;35:637-642.
Weight-based dosing errors can lead to adverse drug events. This retrospective study found that weight-related errors are rare but did lead to medication dosing errors and potential for harm. This finding underscores the need to address weight-based dosing on a systems level.
Yamamoto LG. Hawaii J Med Public Health. 2014;73:322-8.
This survey found that physicians chart or write orders in the wrong patient's electronic health record 1.3% of the time, with significant errors for nurses and clinical assistants as well. Respondents believed that a simple solution such as a prominent room number watermark on the screen would prevent such errors, reinforcing the need to be able to augment electronic health record interfaces to improve safety.
Yamamoto LG, Kanemori J. Am J Emerg Med. 2010;28:588-92.
This study advocates for computerized assistance to reduce errors and the time required for drug administration calculations. The authors also highlight the importance of optimizing drug labels to ensure safety.