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  1. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet

    psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
    February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Citation Text: Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. Copy Citation Fo…

  2. MedStar Health Research Institute | Digital Healthcare Research

    digital.ahrq.gov/organization/medstar-research-institute
    January 01, 2023 - MedStar Health Research Institute Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insigh…

  3. Feeling unsafe in the healthcare setting: patients' perspectives. | PSNet

    psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-perspectives
    June 11, 2014 - Review Feeling unsafe in the healthcare setting: patients' perspectives. Citation Text: Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. Copy Citation Format: DO…

  4. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
    February 02, 2022 - Review Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. Citation Text: Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…

  5. Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. | PSNet

    psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
    May 15, 2024 - Study Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. Citation Text: Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error: Exploring the impact of decision-making …

  6. Wolfstadt JI et al. 2008 "The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wolfstadt-ji-et-al-2008
    January 01, 2008 - Wolfstadt JI et al. 2008 "The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review." Reference Wolfstadt JI, Gurwitz JH, Field TS, et al. The effect of computerized physician order entry with clinical decision support on t…

  7. Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
    January 01, 2003 - Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial." Reference Tierney WM, Overhage JM, Murray MD, et al. Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial. …

  8. Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

    psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
    June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

  9. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

    psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
    April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

  10. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet

    psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
    December 07, 2022 - Study Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. Citation Text: Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…

  11. Learning from latent safety threats identified during simulation to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
    June 10, 2020 - Study Learning from latent safety threats identified during simulation to improve patient safety. Citation Text: Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…

  12. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. | PSNet

    psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
    January 27, 2012 - Study Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Citation Text: Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…

  13. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet

    psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
    November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…

  14. Sample Hospital Report Card (pdf file)

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm1.pdf
    March 31, 2011 - Sample Hospital Report Card SAMPLE HOSPITAL Quarter 1 - Report Card (January 1, 2011 - March 31, 2011) Table of Contents Quarter One Quality and Completeness of Race/Ethnicity Date ……………………………………… Page 3 Comparison of Hospital and County Level…

  15. What’s past is prologue: organizational learning from a serious patient injury. | PSNet

    psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
    October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

  16. Semi-supervised classification of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
    October 31, 2011 - Study Semi-supervised classification of patient safety event reports. Citation Text: McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4. doi:10.1097/PTS.0b013e31824ab987. Copy Citation Format: DOI Google Scholar PubM…

  17. Prevalence and characteristics of interruptions and distractions during surgical counts. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts
    March 09, 2016 - Study Prevalence and characteristics of interruptions and distractions during surgical counts. Citation Text: Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…

  18. Team situation awareness and the anticipation of patient progress during ICU rounds. | PSNet

    psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
    May 06, 2009 - Study Team situation awareness and the anticipation of patient progress during ICU rounds. Citation Text: Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…

  19. Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
    September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

  20. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective. | PSNet

    psnet.ahrq.gov/issue/systematic-integrative-review-specialized-nurses-role-establish-culture-patient-safety
    July 10, 2024 - Review A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective. Citation Text: Glarcher M, Vaismoradi M. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling…
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