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  1. Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. | PSNet

    psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
    April 07, 2021 - Study Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. Citation Text: Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…

  2. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. | PSNet

    psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site
    November 16, 2022 - Study The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. Citation Text: Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surge…

  3. Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. | PSNet

    psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
    August 28, 2013 - Review Emerging Classic Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. Citation Text: Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…

  4. Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. | PSNet

    psnet.ahrq.gov/issue/experiential-learning-through-local-implementation-national-chief-resident-quality-and
    November 16, 2022 - Commentary Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. Citation Text: Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Sa…

  5. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
    June 21, 2017 - Study An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. Citation Text: Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…

  6. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. | PSNet

    psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
    October 19, 2022 - Review The role of pediatric nurses during preventable adverse event disclosure: a scoping review. Citation Text: Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000…

  7. Measuring perceptions of safety climate in primary care: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/measuring-perceptions-safety-climate-primary-care-cross-sectional-study
    January 19, 2011 - Study Measuring perceptions of safety climate in primary care: a cross-sectional study. Citation Text: de Wet C, Johnson P, Mash R, et al. Measuring perceptions of safety climate in primary care: a cross-sectional study. J Eval Clin Pract. 2010;18(1). doi:10.1111/j.1365-2753.2010.01537…

  8. How well do incident reporting systems work on inpatient psychiatric units? | PSNet

    psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
    September 05, 2018 - Study How well do incident reporting systems work on inpatient psychiatric units? Citation Text: Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.…

  9. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping
    November 10, 2021 - Review Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. Citation Text: Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):24…

  10. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2013
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2013. Am J Health Syst Pharm. 2…

  11. Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet

    psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary
    October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…

  12. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. | PSNet

    psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
    June 13, 2011 - Study Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Citation Text: Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study…

  13. The incidence of adverse events among home care patients. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
    December 04, 2015 - Study The incidence of adverse events among home care patients. Citation Text: Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075. Copy Citation Format: DOI Go…

  14. ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey | PSNet

    psnet.ahrq.gov/issue/ask-me-routine-measurement-patient-experience-patient-safety-ambulatory-care-mixed-mode
    April 14, 2021 - Study ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey Citation Text: Stahl K, Groene O. ASK ME!—Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey. PLoS ONE. 2021;16(12):e0259…

  15. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet

    psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
    May 22, 2013 - Study The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Citation Text: van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…

  16. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
    June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

  17. Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

    psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
    April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

  18. Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet

    psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
    July 16, 2013 - Commentary Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Citation Text: D'Angelo R, Mejabi O. Getting It Right for Patient Safety:  Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol.…

  19. The Child Health PSO at 10 years: an emerging learning network. | PSNet

    psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
    July 28, 2021 - Commentary The Child Health PSO at 10 years: an emerging learning network. Citation Text: Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449. Copy Citation Format: …

  20. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. | PSNet

    psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
    July 21, 2017 - Study Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. Citation Text: Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…
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