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Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. | PSNet

psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental

November 29, 2023 - Study Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. Citation Text: Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. BMC Psych. 2020;20(1):4…

Surgical safety does not happen by accident: learning from perioperative near miss case studies. | PSNet

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August 04, 2021 - Commentary Surgical safety does not happen by accident: learning from perioperative near miss case studies. Citation Text: Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. | PSNet

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September 25, 2008 - Study Classic Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. Citation Text: Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…

Building physician work hour regulations from first principles and best evidence. | PSNet

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April 24, 2018 - Commentary Building physician work hour regulations from first principles and best evidence. Citation Text: Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. Copy Citation…

Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward

September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet

psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety

April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort

December 03, 2014 - Study Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. Citation Text: Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…

Social disparities in patient safety in primary care: a systematic review. | PSNet

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January 08, 2025 - Review Emerging Classic Social disparities in patient safety in primary care: a systematic review. Citation Text: Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet

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November 16, 2022 - Study Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. Citation Text: Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…

Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. | PSNet

psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant

December 15, 2021 - Study Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. Citation Text: Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: asso…

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review

February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

Improving patient safety by identifying side effects from introducing bar coding in medication administration. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication

March 11, 2011 - Study Classic Improving patient safety by identifying side effects from introducing bar coding in medication administration. Citation Text: Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…

Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. | PSNet

psnet.ahrq.gov/issue/impact-introduction-electronic-prescribing-staff-perceptions-patient-safety-and

June 17, 2015 - Study Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. Citation Text: Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organization…

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet

psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients

September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. Citation Text: Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…

Night-time communication at Stanford University Hospital: perceptions, reality and solutions. | PSNet

psnet.ahrq.gov/issue/night-time-communication-stanford-university-hospital-perceptions-reality-and-solutions

March 24, 2019 - Study Night-time communication at Stanford University Hospital: perceptions, reality and solutions. Citation Text: Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjq…

Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

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March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

Language proficiency and adverse events in US hospitals: a pilot study. | PSNet

psnet.ahrq.gov/issue/language-proficiency-and-adverse-events-us-hospitals-pilot-study

January 23, 2012 - Study Language proficiency and adverse events in US hospitals: a pilot study. Citation Text: Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069. Copy Citation…

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. | PSNet

psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare

July 06, 2022 - Study Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Citation Text: Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic

February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

A usability and safety analysis of electronic health records: a multi-center study. | PSNet

psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study

October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

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