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  1. www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
    October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…
  2. psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality
    June 01, 2011 - Study Do patient safety indicators explain increased weekend mortality? Citation Text: Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
    May 25, 2016 - Study Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. Citation Text: Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…
  4. psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
    September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…
  5. psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
    July 02, 2014 - Study Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. Citation Text: Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…
  6. psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
    October 19, 2022 - Study Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. Citation Text: Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …
  7. psnet.ahrq.gov/issue/effects-2011-duty-hour-reforms-interns-and-their-patients-prospective-longitudinal-cohort
    October 19, 2022 - Study Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. Citation Text: Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA In…
  8. psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
    September 28, 2016 - Study Classic An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Citation Text: Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…
  9. psnet.ahrq.gov/issue/patient-voices-hospital-safety-during-covid-19-pandemic
    March 17, 2021 - Study Patient voices in hospital safety during the COVID-19 pandemic. Citation Text: Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19 pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
    March 11, 2020 - Study Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. Citation Text: Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at Out-of-Hours Primary Care. J Patient Saf. 2022…
  11. psnet.ahrq.gov/issue/learning-errors-analysis-medication-order-voiding-cpoe-systems
    May 29, 2019 - Study Learning from errors: analysis of medication order voiding in CPOE systems. Citation Text: Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw18…
  12. psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient
    June 01, 2016 - Study Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. Citation Text: Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factor…
  13. psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
    November 11, 2020 - Study Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Citation Text: Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…
  14. psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
    November 20, 2013 - Study Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. Citation Text: Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…
  15. psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ
    November 16, 2022 - Study User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. Citation Text: Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…
  16. psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
    April 01, 2015 - Study Classic Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Citation Text: Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…
  17. psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
    February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…
  18. psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
    March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…
  19. psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
    May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…
  20. psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications
    August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …