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psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
October 19, 2022 - Commentary
A lethal hidden curriculum—death of a medical student from opioid use disorder.
Citation Text:
Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537.
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psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
September 01, 2016 - Study
Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care.
Citation Text:
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…
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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - Study
Building a framework for trust: critical event analysis of deaths in surgical care.
Citation Text:
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42.
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psnet.ahrq.gov/issue/automated-search-methods-identifying-wrong-patient-order-entry-scoping-review
June 14, 2023 - Study
Automated search methods for identifying wrong patient order entry-a scoping review.
Citation Text:
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - Study
Internal reporting system to improve a pharmacy's medication distribution process.
Citation Text:
Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202.
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psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
October 03, 2017 - Study
Active surveillance using electronic triggers to detect adverse events in hospitalized patients.
Citation Text:
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - Study
Do hospitals provide lower quality care on weekends?
Citation Text:
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
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psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
July 05, 2017 - Study
Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures.
Citation Text:
Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…
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psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
April 12, 2011 - Study
Identifying risk factors for medical injury.
Citation Text:
Guse CE, Yang H, Layde PM. Identifying risk factors for medical injury. Int J Qual Health Care. 2006;18(3):203-10.
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psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
August 04, 2021 - Study
Classic
Why do people sue doctors? A study of patients and relatives taking legal action.
Citation Text:
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613.
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psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
June 07, 2023 - Study
Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.
Citation Text:
Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…
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psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years
October 19, 2022 - Study
Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.
Citation Text:
Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…
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psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
February 07, 2024 - Study
Estimating the hospital costs of inpatient harms.
Citation Text:
Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066.
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psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
June 28, 2011 - Review
Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.
Citation Text:
Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…
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psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
April 12, 2011 - Study
Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs.
Citation Text:
Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …
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psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training
February 29, 2012 - Study
Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes.
Citation Text:
Bowie P, Skinner J, de Wet C. Training health care professionals in root cause analysis: a cross-sectional study of post-training…
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psnet.ahrq.gov/issue/new-category-never-events-ending-harmful-hospital-policies
September 07, 2022 - Commentary
A new category of "never events"-ending harmful hospital policies.
Citation Text:
Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703.
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psnet.ahrq.gov/issue/reducing-treatment-errors-through-point-care-glucometer-configuration
September 23, 2020 - Study
Reducing treatment errors through point-of-care glucometer configuration.
Citation Text:
Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…
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psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
March 03, 2011 - Study
A target to achieve zero preventable trauma deaths through quality improvement.
Citation Text:
Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159.
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psnet.ahrq.gov/issue/frequency-hiv-related-medication-errors-and-associated-risk-factors-hospitalized-patients
April 24, 2018 - Study
Frequency of HIV-related medication errors and associated risk factors in hospitalized patients.
Citation Text:
Pastakia SD, Corbett AH, Raasch RH, et al. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Ann Pharmacother. 2008;42(4)…