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  1. Breast cancer missed at screening; hindsight or mistakes? | PSNet

    psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
    November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …

  2. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. | PSNet

    psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality
    August 14, 2019 - Study Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. Citation Text: Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:1…

  3. "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet

    psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
    August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. Citation Text: van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. Copy Ci…

  4. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet

    psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
    June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

  5. Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet

    psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses
    July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

  6. What is driving hospitals' patient-safety efforts? | PSNet

    psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
    February 10, 2015 - Commentary What is driving hospitals' patient-safety efforts? Citation Text: Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  7. Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. | PSNet

    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…

  8. "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. | PSNet

    psnet.ahrq.gov/issue/were-all-truly-pulling-exact-same-direction-qualitative-study-attending-and-resident
    December 09, 2020 - Study "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. Citation Text: Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qu…

  9. Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
    March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

  10. Addressing systemic racism in nursing homes: a time for action. | PSNet

    psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
    November 18, 2020 - Commentary Emerging Classic Addressing systemic racism in nursing homes: a time for action. Citation Text: Sloane PD, Yearby R, Konetzka RT, et al. Addressing systemic racism in nursing homes: a time for action. J Am Med Dir Assoc. 2021;22(4):886-892. doi:10.101…

  11. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration
    May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

  12. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

    psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
    October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

  13. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. | PSNet

    psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
    February 16, 2022 - Study Detection rates of mild cognitive impairment in primary care for the United States Medicare population. Citation Text: Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…

  14. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. | PSNet

    psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
    March 24, 2021 - Study Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. Citation Text: Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-116…

  15. Effects of interorganisational information technology networks on patient safety: a realist synthesis. | PSNet

    psnet.ahrq.gov/issue/effects-interorganisational-information-technology-networks-patient-safety-realist-synthesis
    December 02, 2020 - Review Effects of interorganisational information technology networks on patient safety: a realist synthesis. Citation Text: Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…

  16. Quality and safety implications of emergency department information systems. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems
    November 30, 2012 - Commentary Quality and safety implications of emergency department information systems. Citation Text: Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…

  17. Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

    psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review
    October 13, 2021 - Review Maternal mortality: near-miss events in middle-income countries, a systematic review. Citation Text: Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693-70…

  18. Surveillance of medical device-related hazards and adverse events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
    March 11, 2011 - Study Classic Surveillance of medical device-related hazards and adverse events in hospitalized patients. Citation Text: Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…

  19. Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
    June 07, 2017 - Study Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. Citation Text: OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…

  20. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. | PSNet

    psnet.ahrq.gov/issue/drivers-unprofessional-behaviour-between-staff-acute-care-hospitals-realist-review
    July 24, 2024 - Review Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. Citation Text: Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:1…
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