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  1. Primary care pediatricians' interest in diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/primary-care-pediatricians-interest-diagnostic-error-reduction
    March 19, 2018 - Study Primary care pediatricians' interest in diagnostic error reduction. Citation Text: Rinke ML, Singh H, Ruberman S, et al. Primary care pediatricians' interest in diagnostic error reduction. Diagnosis (Berl). 2016;3(2):65-69. doi:10.1515/dx-2015-0033. Copy Citation Format: …

  2. Breast cancer screening and overdiagnosis. | PSNet

    psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis
    March 16, 2022 - Study Breast cancer screening and overdiagnosis. Citation Text: Bulliard J‐L, Beau A‐B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer. 2021;149(4):846-853. doi:10.1002/ijc.33602. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  3. Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
    August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…

  4. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

    psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
    June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

  5. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

    psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
    September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

  6. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet

    psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
    April 12, 2023 - Study Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. Citation Text: Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024…

  7. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. | PSNet

    psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
    June 28, 2017 - Study Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Citation Text: Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…

  8. Variation in hospital mortality associated with inpatient surgery. | PSNet

    psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
    August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

  9. Isolation precautions for visitors. | PSNet

    psnet.ahrq.gov/issue/isolation-precautions-visitors
    March 02, 2014 - Organizational Policy/Guidelines Isolation precautions for visitors. Citation Text: Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67. Copy Citation Format: DOI Google …

  10. Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. | PSNet

    psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure
    May 05, 2021 - Study Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. Citation Text: Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. …

  11. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized
    October 15, 2008 - Study Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Citation Text: Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …

  12. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. | PSNet

    psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
    September 21, 2022 - Study Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Citation Text: Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…

  13. Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
    April 25, 2016 - Study Root cause analysis of ambulatory adverse drug events that present to the emergency department. Citation Text: Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…

  14. Measuring preventable harm: helping science keep pace with policy.   | PSNet

    psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
    December 29, 2014 - Commentary Measuring preventable harm: helping science keep pace with policy.   Citation Text: Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA. 2009;301(12):1273-5. doi:10.1001/jama.2009.388. Copy Citation Format: DOI Goo…

  15. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

  16. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet

    psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
    April 22, 2011 - Review A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Citation Text: Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…

  17. The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet

    psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
    June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

  18. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
    November 16, 2022 - Study Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Citation Text: Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…

  19. Hospital autopsy: endangered or extinct? | PSNet

    psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
    November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  20. Using a logic model to design and evaluate quality and patient safety improvement programs. | PSNet

    psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
    November 10, 2010 - Commentary Using a logic model to design and evaluate quality and patient safety improvement programs. Citation Text: Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …
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