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  1. Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events
    July 19, 2023 - Review Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis. Citation Text: Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs monitorin…

  2. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    May 12, 2021 - Commentary The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Citation Text: Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…

  3. The WHO surgical safety checklist: survey of patients' views. | PSNet

    psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
    January 19, 2016 - Study The WHO surgical safety checklist: survey of patients' views. Citation Text: Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. Copy Citation Format: DOI Google Schol…

  4. Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

    psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
    June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

  5. Graded autonomy in medical education—managing things that go bump in the night. | PSNet

    psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
    July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

  6. Intercepting wrong-patient orders in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system
    May 29, 2019 - Study Intercepting wrong-patient orders in a computerized provider order entry system. Citation Text: Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…

  7. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
    March 17, 2021 - Study Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. Citation Text: Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…

  8. Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. | PSNet

    psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
    September 07, 2016 - Study Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. Citation Text: van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…

  9. Outpatient opioid prescriptions for children and opioid-related adverse events. | PSNet

    psnet.ahrq.gov/issue/outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events
    July 31, 2017 - Study Emerging Classic Outpatient opioid prescriptions for children and opioid-related adverse events. Citation Text: Chung CP, Callahan T, Cooper WO, et al. Outpatient Opioid Prescriptions for Children and Opioid-Related Adverse Events. Pediatrics. 2018;142(2):…

  10. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

    psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
    September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

  11. Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. | PSNet

    psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
    January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…

  12. Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

    psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
    May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

  13. Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

    psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
    May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

  14. A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. | PSNet

    psnet.ahrq.gov/issue/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
    September 25, 2013 - Study A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. Citation Text: Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among …

  15. Improving medication safety with accurate preadmission medication lists and postdischarge education. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
    June 26, 2019 - Study Improving medication safety with accurate preadmission medication lists and postdischarge education. Citation Text: Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …

  16. Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. | PSNet

    psnet.ahrq.gov/issue/understanding-multidimensional-effects-resident-duty-hours-restrictions-thematic-analysis
    July 03, 2016 - Review Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. Citation Text: Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Anal…

  17. The frequency of missed test results and associated treatment delays in a highly computerized health system. | PSNet

    psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
    July 22, 2009 - Study The frequency of missed test results and associated treatment delays in a highly computerized health system. Citation Text: Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. …

  18. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

    psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
    October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

  19. The impact of eHealth on the quality and safety of health care: a systematic overview. | PSNet

    psnet.ahrq.gov/issue/impact-ehealth-quality-and-safety-health-care-systematic-overview
    December 14, 2016 - Review The impact of eHealth on the quality and safety of health care: a systematic overview. Citation Text: Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed…

  20. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
    December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
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