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  1. Danger in discharge summaries: abbreviations create confusion for both author and recipient. | PSNet

    psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
    March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…

  2. Use of electronic health records in US hospitals. | PSNet

    psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
    February 17, 2011 - Meeting/Conference Proceedings Use of electronic health records in US hospitals. Citation Text: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  3. Electronic health record adoption by children's hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-adoption-childrens-hospitals-united-states
    February 17, 2011 - Study Electronic health record adoption by children's hospitals in the United States. Citation Text: Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/arc…

  4. To catch a killer: electronic sepsis alert tools reaching a fever pitch? | PSNet

    psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch
    November 15, 2023 - Commentary To catch a killer: electronic sepsis alert tools reaching a fever pitch? Citation Text: Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. Copy Citation Format: …

  5. With money at risk, hospitals push staff to wash hands. | PSNet

    psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands
    May 18, 2022 - Newspaper/Magazine Article With money at risk, hospitals push staff to wash hands. Citation Text: Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…

  6. Emotion and coping in the aftermath of medical error: a cross-country exploration. | PSNet

    psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
    August 10, 2022 - Study Emotion and coping in the aftermath of medical error: a cross-country exploration. Citation Text: Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b…

  7. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
    February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

  8. Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet

    psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
    June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

  9. Targeting zero harm: a stretch goal that risks breaking the spring. | PSNet

    psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
    December 01, 2021 - Commentary Targeting zero harm: a stretch goal that risks breaking the spring. Citation Text: Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. Copy Citation F…

  10. Decreasing surgical site infections by developing a high reliability culture. | PSNet

    psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
    July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

  11. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
    February 25, 2015 - Review Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. Citation Text: Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…

  12. Common patterns in 558 diagnostic radiology errors. | PSNet

    psnet.ahrq.gov/issue/common-patterns-558-diagnostic-radiology-errors
    July 19, 2023 - Study Common patterns in 558 diagnostic radiology errors. Citation Text: Donald JJ, Barnard SA. Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol. 2012;56(2):173-178. doi:10.1111/j.1754-9485.2012.02348.x. Copy Citation Format: DOI Google Schol…

  13. Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. | PSNet

    psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
    September 30, 2020 - Book/Report Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Citation Text: Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…

  14. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
    December 31, 2014 - Study Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Citation Text: Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Int J Med Inform…

  15. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. | PSNet

    psnet.ahrq.gov/issue/strengthening-leadership-catalyst-enhanced-patient-safety-culture-repeated-cross-sectional
    June 28, 2011 - Study Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. Citation Text: Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sect…

  16. Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet

    psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
    April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…

  17. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet

    psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
    June 12, 2024 - Commentary Learning from incidents in healthcare: the journey, not the arrival, matters. Citation Text: Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …

  18. Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet

    psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
    June 02, 2019 - Commentary Physician engagement in malpractice risk reduction: a UPHS case study. Citation Text: Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…

  19. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. | PSNet

    psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident
    December 18, 2014 - Study Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Citation Text: O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…

  20. Interprofessional teamwork and team interventions in chronic care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interprofessional-teamwork-and-team-interventions-chronic-care-systematic-review
    April 24, 2019 - Review Interprofessional teamwork and team interventions in chronic care: a systematic review. Citation Text: Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/135618…
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