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  1. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet

    psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
    October 21, 2020 - Study Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Citation Text: Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiativ…

  2. Classification of medication incidents associated with information technology. | PSNet

    psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
    November 23, 2012 - Study Classification of medication incidents associated with information technology. Citation Text: Cheung K-C, van der Veen W, Bouvy ML, et al. Classification of medication incidents associated with information technology. J Am Med Inform Assoc. 2014;21(e1):e63-70. doi:10.1136/amiajnl-2…

  3. Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. | PSNet

    psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
    July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…

  4. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet

    psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
    July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

  5. Enhancing Complex Care through an Integrated Care Coordination Information System - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
    January 01, 2010 - Enhancing Complex Care through an Integrated Care Coordination Information System - 2010 Project Name Enhancing Complex Care through an Integrated Care Coordination Information System Principal Investigator Dorr, David Organization Oregon Health and Science University …

  6. Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

    psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children
    April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

  7. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. | PSNet

    psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
    April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…

  8. Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. | PSNet

    psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study
    July 20, 2022 - Study Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. Citation Text: Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…

  9. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-covid-19-pandemic-qualitative-study-perspectives-front-line-clinicians
    May 15, 2024 - Study Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. Citation Text: Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024…

  10. Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
    October 16, 2013 - Study Medication-related emergency department visits in pediatrics: a prospective observational study. Citation Text: Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…

  11. Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet

    psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
    December 19, 2014 - Study Applying the high reliability health care maturity model to assess hospital performance: a VA case study. Citation Text: Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …

  12. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. | PSNet

    psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
    October 05, 2016 - Study Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…

  13. Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. | PSNet

    psnet.ahrq.gov/issue/learning-complaints-healthcare-realist-review-academic-literature-policy-evidence-and-front
    January 12, 2022 - Review Emerging Classic Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. Citation Text: van Dael J, Reader TW, Gillespie A, et al. Learning from complaints in healthcare: a realist review o…

  14. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
    January 31, 2024 - Study Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. Citation Text: Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…

  15. Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. | PSNet

    psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable
    September 02, 2020 - Study Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. Citation Text: Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a r…

  16. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

    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):…

  17. Topic 0614 Tonsillectomy NSD FINAL CC (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0768-141211.pdf
    October 23, 2014 - Topic 0614 Tonsillectomy NSD FINAL CC Tonsillectomy for Recurrent Infection and Sleep Disordered Breathing Nomination Summary Document Results of Topi…

  18. 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…

  19. Improving critical incident reporting in primary care through education and involvement. | PSNet

    psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
    September 07, 2022 - Study Improving critical incident reporting in primary care through education and involvement. Citation Text: Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…

  20. Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety. | PSNet

    psnet.ahrq.gov/issue/importance-safety-climate-teamwork-climate-and-demographics-understanding-nurses-allied
    October 13, 2021 - Study Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety. Citation Text: Zaheer S, Ginsburg LR, Wong HJ, et al. Importance of safety climate, teamwork climate and demographics…
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