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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…

The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. | PSNet

psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory

August 10, 2022 - Study The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. Citation Text: Upadhyay S, Weech-Maldonado R, Opoku-Agyeman W. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspect…

Effect of a hospital-wide measure on the readmissions reduction program. | PSNet

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February 14, 2017 - Study Effect of a hospital-wide measure on the readmissions reduction program. Citation Text: Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. Copy Ci…

Cost of health care-associated infections in the United States. | PSNet

psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states

November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

The effects of electronic prescribing by community-based providers on ambulatory medication safety. | PSNet

psnet.ahrq.gov/issue/effects-electronic-prescribing-community-based-providers-ambulatory-medication-safety

March 04, 2015 - Study The effects of electronic prescribing by community-based providers on ambulatory medication safety. Citation Text: Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based providers on ambulatory medication safety. Jt Comm J Qual Patient Saf…

Ambulatory computerized prescribing and preventable adverse drug events. | PSNet

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June 11, 2014 - Study Ambulatory computerized prescribing and preventable adverse drug events. Citation Text: Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. Copy Citation…

Toward learning from patient safety reporting systems. | PSNet

psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems

January 02, 2017 - Study Toward learning from patient safety reporting systems. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

A cognitive task analysis of information management strategies in a computerized provider order entry environment. | PSNet

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May 27, 2011 - Study A cognitive task analysis of information management strategies in a computerized provider order entry environment. Citation Text: Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…

Long-term impacts faced by patients and families after harmful healthcare events. | PSNet

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December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…

Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic

September 01, 2016 - Study Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. Citation Text: Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.…

Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent care settings. | PSNet

psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic-excellence

January 10, 2024 - Study Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent care settings. Citation Text: Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported measure of diagnostic excellen…

Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet

psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional

September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Citation Text: Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…

How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient

October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality

April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. | PSNet

psnet.ahrq.gov/issue/client-caregiver-and-provider-perspectives-safety-palliative-home-care-mixed-method-design

March 02, 2016 - Study Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Citation Text: Lang A, Toon L, Cohen SR, et al. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Safety Health. 2015;1(1):3. …

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-public-hospitals-developing-standard-measures-track-medical-errors

December 19, 2018 - Study Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. Citation Text: Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Proc…

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital

March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. | PSNet

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June 19, 2012 - Study Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. Citation Text: Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of int…

More than 1 million potential second victims: how many could nursing education prevent? | PSNet

psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent

May 30, 2018 - Study More than 1 million potential second victims: how many could nursing education prevent? Citation Text: Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437. Cop…

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