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Thornton RH, Miransky J, Killen AR, Solomon SB, Brody LA. AJR Am J Roentgenol. 2011;196:1120-1124.
Thornton RH ; Killen AR; et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011; 196: 1120-1124
This study developed a scoring system and a systematic approach to identify learning opportunities from near miss adverse events. Electronic order entry errors posed the greatest threat, suggesting vulnerability at the human–technology interface.
Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.
Lacson R, O'Connor SD, Sahni VA, et al. BMJ Qual Saf. 2016;25:518-524.
Technology, cognition and error.
Coiera E. BMJ Qual Saf. 2015;24:417-422.
A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.
Perlin JB, Mower L, Bushe C. J Healthc Qual. 2015;37:173-188.
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Ferguson C, Hickman L, Macbean C, Jackson D. J Clin Nurs. 2019;28:2365-2368.
Error and Uncertainty in Diagnostic Radiology.
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
System-related and cognitive errors in laboratory medicine.
Plebani M. Diagnosis (Berl). 2018;5:191-196.
Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework.
Cochon L, Lacson R, Wang A, et al. J Am Med Inform Assoc. 2018;25:1507-1515.
Strategies for optimizing OR drug safety.
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
Managing the patient identification crisis in healthcare and laboratory medicine.
Lippi G, Mattiuzzi C, Bovo C, Favaloro EJ. Clin Biochem. 2017;50:562-567.
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.
Maben J, Griffiths P, Penfold C, et al. BMJ Qual Saf. 2016;25:241-256.
Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial.
Murphy DR, Wu L, Thomas EJ, Forjuoh SN, Meyer AND, Singh H. J Clin Oncol. 2015;33:3560-3567.
Innovative teaching in situational awareness.
Gregory A, Hogg G, Ker J. Clin Teach. 2015;12:331-335.
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes.
Powers C, Gabriel MH, Encinosa W, Mostashari F, Bynum J. J Am Med Inform Assoc. 2015;22:1094-1098.
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.
Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463.
Metric units and the preferred dosing of orally administered liquid medications.
Neville K, Galinkin JL, Green TP, et al; Committee on Drugs of the American Academy of Pediatrics. Pediatrics. 2015;135:784-787.
Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors.
Smith KJ, Handler SM, Kapoor WN, Martich GD, Reddy VK, Clark S. Am J Med Qual. 2016;31:315-322.
Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations.
Moreira ME, Hernandez C, Stevens AD, et al. Ann Emerg Med. 2015;66:97-106.
An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care.
Agarwala AV, Firth PG, Albrecht MA, Warren L, Musch G. Anesth Analg. 2015;120:96-104.
Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.
Dalal AK, Roy CL, Poon EG, et al. J Am Med Inform Assoc. 2014;21:473-480
Diagnostic inaccuracy of smartphone applications for melanoma detection.
Wolf JA, Moreau J, Akilov O, et al. JAMA Dermatol. 2013;149:422-426.
Health IT and Patient Safety: Building Safer Systems for Better Care.
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.
Patient safety event reporting in a large radiology department.
Schultz SR, Watson RE Jr, Prescott SL, et al. AJR Am J Roentgenol. 2011;197:684-688.
High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.
Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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