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Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet

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July 03, 2016 - Study Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. Citation Text: Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: Le…

A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. | PSNet

psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and

March 16, 2022 - Study A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. Citation Text: Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet

psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators

March 16, 2022 - Study Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, Citation Text: Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg.…

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. | PSNet

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July 08, 2020 - Study How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory. Citation Text: Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist…

Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united

October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. | PSNet

psnet.ahrq.gov/issue/concordance-hospital-ranks-and-category-ratings-using-current-technical-specification-us

September 29, 2018 - Study Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. Citation Text: Barclay ME, Dixon-Woods M, Lyratzopoulos G. Concordance of hospital ranks and category ratings using th…

Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. | PSNet

psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board

March 27, 2019 - Study Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. Citation Text: Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient…

Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods

November 14, 2018 - Study Classic Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. Citation Text: Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Anal…

Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet

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December 30, 2014 - Commentary Estimating deaths due to medical error: the ongoing controversy and why it matters. Citation Text: Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. …

Adverse events in hospitalized pediatric patients. | PSNet

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July 11, 2017 - Study Emerging Classic Adverse events in hospitalized pediatric patients. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360. Copy Citati…

Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. | PSNet

psnet.ahrq.gov/issue/analysis-variations-display-drug-names-computerized-prescriber-order-entry-systems

October 13, 2018 - Study Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. Citation Text: Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Healt…

Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet

psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies

May 06, 2015 - Review Surgical technology and operating-room safety failures: a systematic review of quantitative studies. Citation Text: Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…

Underlying reasons associated with hospital readmission following surgery in the United States. | PSNet

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May 06, 2020 - Study Classic Underlying reasons associated with hospital readmission following surgery in the United States. Citation Text: Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. …

Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet

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August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…

Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians

July 18, 2018 - Study Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. Citation Text: Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…

Factors associated with intern fatigue. | PSNet

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October 28, 2009 - Study Factors associated with intern fatigue. Citation Text: Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Determining medication errors in an adult intensive care unit. | PSNet

psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit

February 15, 2017 - Study Determining medication errors in an adult intensive care unit. Citation Text: Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788. Copy Cita…

Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review

August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black

July 26, 2023 - Study Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. Citation Text: Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black p…

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. | PSNet

psnet.ahrq.gov/issue/engaging-ethnic-minority-consumers-improve-safety-cancer-services-national-stakeholder

September 15, 2021 - Study Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Citation Text: Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient …

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