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  1. Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. | PSNet

    psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children
    August 14, 2018 - Study Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1…

  2. Adverse drug events and medication problems in "Hospital at Home" patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
    December 16, 2020 - Study Adverse drug events and medication problems in "Hospital at Home" patients. Citation Text: Mann E, Zepeda O, Soones T, et al. Adverse drug events and medication problems in "Hospital at Home" patients. Home Health Care Serv Q. 2018;37(3):177-186. doi:10.1080/01621424.2018.1454372. …

  3. Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
    August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

  4. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. | PSNet

    psnet.ahrq.gov/issue/effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study
    July 19, 2019 - Study Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. Citation Text: Althoff FC, Wachtendorf LJ, Rostin P, et al. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2020;30(8):678-688…

  5. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. | PSNet

    psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
    March 17, 2021 - Study Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. Citation Text: Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive…

  6. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
    November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

  7. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. | PSNet

    psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
    August 04, 2021 - Study Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. Citation Text: Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distres…

  8. Saving lives: a meta-analysis of team training in healthcare. | PSNet

    psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
    October 31, 2017 - Review Saving lives: a meta-analysis of team training in healthcare. Citation Text: Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. Copy Citation Format: DOI …

  9. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet

    psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
    March 20, 2019 - Study A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Citation Text: Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…

  10. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

  11. The relationships among work stress, strain and self-reported errors in UK community pharmacy. | PSNet

    psnet.ahrq.gov/issue/relationships-among-work-stress-strain-and-self-reported-errors-uk-community-pharmacy
    October 19, 2022 - Study The relationships among work stress, strain and self-reported errors in UK community pharmacy. Citation Text: Johnson SJ, O'Connor EM, Jacobs S, et al. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Social Adm Pharm. 2014;10(6):88…

  12. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

    psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
    April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

  13. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. | PSNet

    psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
    April 27, 2022 - Study Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Citation Text: Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain…

  14. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. | PSNet

    psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood-disorders-quality
    November 16, 2022 - Study Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Citation Text: Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvemen…

  15. Anticipating patient safety events in psychiatric care. | PSNet

    psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care
    March 10, 2021 - Study Anticipating patient safety events in psychiatric care. Citation Text: Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760. Copy Citation Format: …

  16. The trigger tool as a method to measure harmful medication errors in children. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
    August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

  17. Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

    psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
    August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

  18. The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. | PSNet

    psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
    October 24, 2018 - Study The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. Citation Text: Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Hea…

  19. Implementing standardized operating room briefings and debriefings at a large regional medical center. | PSNet

    psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
    January 03, 2017 - Study Implementing standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…

  20. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

    psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
    June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…
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