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  1. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
    February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…

  2. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet

    psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
    November 12, 2014 - Study Classic Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. Citation Text: Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…

  3. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet

    psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
    May 06, 2020 - Study Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. Citation Text: Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…

  4. Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet

    psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
    September 29, 2018 - Study Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. Citation Text: Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…

  5. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

    psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
    June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

  6. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital
    June 22, 2022 - Study Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. Citation Text: Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1)…

  7. Quality management and perceptions of teamwork and safety climate in European hospitals. | PSNet

    psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals
    May 26, 2014 - Study Quality management and perceptions of teamwork and safety climate in European hospitals. Citation Text: Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi…

  8. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. | PSNet

    psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi
    February 01, 2011 - Study WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. Citation Text: Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…

  9. Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. | PSNet

    psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
    January 08, 2025 - Study Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. Citation Text: Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…

  10. The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. | PSNet

    psnet.ahrq.gov/issue/effect-two-different-electronic-health-record-user-interfaces-intensive-care-provider-task
    March 16, 2022 - Study The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. Citation Text: Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensi…

  11. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet

    psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
    March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. Citation Text: Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…

  12. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

    psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
    April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

  13. International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet

    psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
    February 14, 2018 - Study International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. Citation Text: Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…

  14. The effect of visitation restrictions on ED error. | PSNet

    psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
    July 01, 2016 - Study The effect of visitation restrictions on ED error. Citation Text: Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med. 2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3. Copy Citation Format: DOI Google Scholar BibTe…

  15. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

    psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
    December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

  16. Frequency and preventability of adverse drug events in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/frequency-and-preventability-adverse-drug-events-outpatient-setting
    May 15, 2024 - Study Frequency and preventability of adverse drug events in the outpatient setting. Citation Text: Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098. Cop…

  17. 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.…

  18. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-covid-19-pandemic-qualitative-study-perspectives-front-line-clinicians
    May 15, 2024 - Study Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. Citation Text: Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024…

  19. Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. | PSNet

    psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
    May 25, 2022 - Study Classic Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. Citation Text: Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…

  20. Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. | PSNet

    psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
    September 06, 2023 - Review Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. Citation Text: Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital s…
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