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  1. Patient Safety Metadata - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
    January 01, 2010 - Patient Safety Metadata - 2010 Project Name Patient Safety Metadata Principal Investigator Penoza, Chuck Organization Data Consulting Group Contract Number 290-08-10005M Project Period January 2008 – December 2010, Completion of Contract AHRQ Funding A…

  2. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
    March 02, 2011 - Study Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Citation Text: Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4…

  3. A systematic review of the psychological literature on interruption and its patient safety implications. | PSNet

    psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
    September 24, 2016 - Review Classic A systematic review of the psychological literature on interruption and its patient safety implications. Citation Text: Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…

  4. Rapid response teams: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
    December 21, 2014 - Review Classic Rapid response teams: a systematic review and meta-analysis. Citation Text: Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424…

  5. The association between nurse staffing and omissions in nursing care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic-review
    July 19, 2019 - Review Classic The association between nurse staffing and omissions in nursing care: a systematic review. Citation Text: Griffiths P, Recio-Saucedo A, Dall'Ora C, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J…

  6. Nease DE et al. 2008 "Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices - a report from the prompting and reminding at encounters for prevention project." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nease-de-et-al-2008
    January 01, 2008 - Nease DE et al. 2008 "Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices - a report from the prompting and reminding at encounters for prevention project." Reference Nease DE, Ruffin MT, Klinkman MS, et al. Impact of a generalizable reminder syst…

  7. A review of patient safety measures based on routinely collected hospital data. | PSNet

    psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
    February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

  8. Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. | PSNet

    psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
    November 29, 2023 - Study Emerging Classic Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. Citation Text: Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…

  9. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed
    October 07, 2020 - Study Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Citation Text: Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods s…

  10. Exploring care left undone in pediatric nursing. | PSNet

    psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
    October 25, 2017 - Study Exploring care left undone in pediatric nursing. Citation Text: Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044. Copy Citation Format: DOI Google Scholar BibTeX…

  11. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. | PSNet

    psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
    March 05, 2010 - Study Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. Citation Text: Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …

  12. Randomized controlled evaluation of an insulin pen storage policy. | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
    January 23, 2017 - Study Randomized controlled evaluation of an insulin pen storage policy. Citation Text: Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy. Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348. Copy Citation Forma…

  13. Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
    January 23, 2020 - Study Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. Citation Text: Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  14. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet

    psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
    April 02, 2014 - Study Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Citation Text: Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…

  15. Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
    January 03, 2017 - Study Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. Citation Text: Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Phys…

  16. The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

    psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care
    November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

  17. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

    psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
    August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

  18. Drug-related problems in medical wards with a computerized physician order entry system. | PSNet

    psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
    December 01, 2010 - Study Drug-related problems in medical wards with a computerized physician order entry system. Citation Text: Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized physician order entry system. J Clin Pharm Ther. 2009;34(2):187-95. doi:10.1111…

  19. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet

    psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
    March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

  20. Safety of overlapping surgery at a high-volume referral center. | PSNet

    psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
    January 11, 2017 - Study Classic Safety of overlapping surgery at a high-volume referral center. Citation Text: Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …
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