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Identifying boundary spanning reporter roles in patient safety events. | PSNet

psnet.ahrq.gov/issue/identifying-boundary-spanning-reporter-roles-patient-safety-events

December 07, 2022 - Study Identifying boundary spanning reporter roles in patient safety events. Citation Text: Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events. J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096. Copy Cit…

Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet

psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow

March 17, 2021 - Study Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. Citation Text: Delio J, Catalanotti JS, Marko K, et al. Integrating Adverse Event Reporting Into a Free-Text Mobile Application Used in Da…

Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. | PSNet

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September 29, 2017 - Study Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. Citation Text: Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …

Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. | PSNet

psnet.ahrq.gov/issue/resolving-malpractice-claims-after-tort-reform-experience-self-insured-texas-public-academic

December 19, 2018 - Study Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. Citation Text: Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health System. Health …

Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. | PSNet

psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical

February 06, 2013 - Review Emerging Classic Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Citation Text: Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…

Visual acuity, literacy, and unintentional misuse of nonprescription medications. | PSNet

psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications

November 26, 2014 - Study Visual acuity, literacy, and unintentional misuse of nonprescription medications. Citation Text: Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp1…

Doctors' perceived working conditions and the quality of patient care: a systematic review. | PSNet

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December 23, 2020 - Review Doctors' perceived working conditions and the quality of patient care: a systematic review. Citation Text: Teoh K, Hassard J, Cox T. Doctors’ perceived working conditions and the quality of patient care: a systematic review. Work Stress. 2019;33(4):385-413. doi:10.1080/02678373.20…

Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

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April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

Fighting a common enemy: a catalyst to close intractable safety gaps. | PSNet

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June 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health

March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Impact of Medicare's nonpayment program on hospital-acquired conditions. | PSNet

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December 21, 2014 - Review Impact of Medicare's nonpayment program on hospital-acquired conditions. Citation Text: Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680. C…

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm

October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

Defining optimal length of opioid pain medication prescription after common surgical procedures. | PSNet

psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures

August 15, 2018 - Study Defining optimal length of opioid pain medication prescription after common surgical procedures. Citation Text: Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. d…

Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. | PSNet

psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic

January 24, 2018 - Study Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. Citation Text: Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in primary care: ins…

A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections

January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. | PSNet

psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting

September 23, 2020 - Study Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. Citation Text: Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…

Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. | PSNet

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November 25, 2015 - Study Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. Citation Text: Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. | PSNet

psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly

February 22, 2010 - Study New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Citation Text: Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…

Accountability for medical error: moving beyond blame to advocacy. | PSNet

psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy

December 19, 2018 - Review Accountability for medical error: moving beyond blame to advocacy. Citation Text: Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533. Copy Citation Format: …

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