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  1. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
    July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

  2. Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk factors. | PSNet

    psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-prevalence-preventability
    April 27, 2022 - Study Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk factors. Citation Text: Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of discharge: prevalenc…

  3. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
    February 17, 2021 - Review Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Citation Text: Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…

  4. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet

    psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
    May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. Citation Text: Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and nea…

  5. Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet

    psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
    September 25, 2019 - Study Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. Citation Text: Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…

  6. Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet

    psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
    March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Citation Text: Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…

  7. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

    psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
    December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

  8. How safe is prehospital care? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
    February 24, 2021 - Review How safe is prehospital care? A systematic review. Citation Text: O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138. Copy Citation Format: DOI Google Scho…

  9. Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. | PSNet

    psnet.ahrq.gov/issue/incidence-severity-and-preventability-medication-related-visits-emergency-department
    May 25, 2010 - Study Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. Citation Text: Zed PJ, Abu-Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits to the emergency department: a prospecti…

  10. New Healthcare Quality Indicator from AHRQ Aimed at Addressing Maternal Morbidities | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/maternal-health-indicators.html
    October 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders New Healthcare Quality Indicator from AHRQ Aimed at Addressing Maternal Morbidities OCT 30 2024 By Whitney Schott, Ph.D., and Judy George, Ph.D. The U.S. has one of the highest maternal morbidity rates in the world among wealthy natio…

  11. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. | PSNet

    psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity
    March 14, 2022 - Study Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Citation Text: Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …

  12. The value of autopsies in the era of high-tech medicine: discrepant findings persist. | PSNet

    psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist
    October 18, 2023 - Study The value of autopsies in the era of high-tech medicine: discrepant findings persist. Citation Text: Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…

  13. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

    psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
    January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

  14. AHRQ’s Research and Tools Help Transform Delivery of Primary Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
    November 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ’s Research and Tools Help Transform Delivery of Primary Care NOV 7 2022 By Tess Miller, Dr.P.H. The unprecedented challenges of COVID-19 underscored the vital role played by the Nation’s vast network of primary care practices—a…

  15. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
    May 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality MAY 19 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. On May 11, 2023, the Biden-Harris Administrat…

  16. A call for the application of patient safety culture in medical humanitarian action: a literature review. | PSNet

    psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
    February 10, 2021 - Review A call for the application of patient safety culture in medical humanitarian action: a literature review. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient S…

  17. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 | PSNet

    psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
    August 02, 2017 - Study Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 Citation Text: Mikosz CA, Zhang K, Haegerich TM, et al. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017. JAMA Netw Open. 2020;3(5). doi:10…

  18. Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - a nationwide cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/exploring-fear-clinical-errors-associations-socio-demographic-professional-burnout-and-mental
    October 30, 2024 - Study Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - a nationwide cross-sectional study. Citation Text: Boyer L, Wu AW, Fernandes S, et al. Exploring the fear of clinical errors: associa…

  19. Development and measurement of perioperative patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/development-and-measurement-perioperative-patient-safety-indicators
    February 09, 2022 - Study Development and measurement of perioperative patient safety indicators. Citation Text: Emond YE, Stienen JJ, Wollersheim HC, et al. Development and measurement of perioperative patient safety indicators. Br J Anaesth. 2015;114(6):963-72. doi:10.1093/bja/aeu561. Copy Citation …

  20. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
    March 17, 2021 - Study Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. Citation Text: Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs…
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