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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - Book/Report
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.
Citation Text:
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…
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psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Characteristics of pediatric chemotherapy medication errors in a national error reporting database.
Citation Text:
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95.…
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psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic-health-record
July 27, 2016 - Study
Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.
Citation Text:
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:…
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psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
August 20, 2018 - Study
Unplanned return to theater: a quality of care and risk management index?
Citation Text:
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
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psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication
February 14, 2024 - Journal Article
Debunking the myth that the majority of medical errors are attributed to communication.
Citation Text:
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
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psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions
November 20, 2024 - Commentary
A call to bridge across silos during care transitions.
Citation Text:
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
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psnet.ahrq.gov/issue/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-patient-tips
November 28, 2016 - Study
Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model.
Citation Text:
Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…
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psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
March 26, 2015 - Study
A medication error prevention survey: five years of results.
Citation Text:
Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284.
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psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended
November 11, 2020 - Study
Contingency planning for electronic health record–based care continuity: a survey of recommended practices.
Citation Text:
Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…
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psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies
September 29, 2017 - Study
Classic
The global burden of unsafe medical care: analytic modelling of observational studies.
Citation Text:
Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew
May 04, 2012 - Study
An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training.
Citation Text:
France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices a…
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
December 02, 2020 - Study
Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.
Citation Text:
Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021…
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psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
May 08, 2019 - Study
How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?
Citation Text:
Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…
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psnet.ahrq.gov/issue/consumer-rankings-and-health-care-toward-validation-and-transparency
July 06, 2022 - Study
Consumer rankings and health care: toward validation and transparency.
Citation Text:
Hota B, Webb TA, Stein BD, et al. Consumer Rankings and Health Care: Toward Validation and Transparency. Jt Comm J Qual Patient Saf. 2016;42(10):439-446.
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psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - Study
An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system.
Citation Text:
Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…
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psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety
March 18, 2020 - Study
Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study.
Citation Text:
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated …
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psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
September 23, 2020 - Study
Resident participation does not affect surgical outcomes, despite introduction of new techniques.
Citation Text:
Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Study
A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice.
Citation Text:
Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Study
Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care.
Citation Text:
Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…
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psnet.ahrq.gov/issue/measuring-perceptions-safety-climate-primary-care-cross-sectional-study
January 19, 2011 - Study
Measuring perceptions of safety climate in primary care: a cross-sectional study.
Citation Text:
de Wet C, Johnson P, Mash R, et al. Measuring perceptions of safety climate in primary care: a cross-sectional study. J Eval Clin Pract. 2010;18(1). doi:10.1111/j.1365-2753.2010.01537…