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  1. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. | PSNet

    psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus
    April 07, 2022 - Study Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. Citation Text: Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.…

  2. Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. | PSNet

    psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice
    March 12, 2014 - Study Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. Citation Text: Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…

  3. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. | PSNet

    psnet.ahrq.gov/issue/thresholds-rules-and-defensive-strategies-how-physicians-learn-their-prior-diagnosis-related
    April 15, 2020 - Study Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. Citation Text: Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experienc…

  4. Safety events in pediatric out-of-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
    August 01, 2018 - Study Safety events in pediatric out-of-hospital cardiac arrest. Citation Text: Hansen M, Eriksson C, Skarica B, et al. Safety events in pediatric out-of-hospital cardiac arrest. Am J Emerg Med. 2018;36(3):380-383. doi:10.1016/j.ajem.2017.08.028. Copy Citation Format: DOI G…

  5. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
    September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Citation Text: Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…

  6. Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
    January 31, 2024 - Book/Report Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. Citation Text: Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …

  7. Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet

    psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
    July 13, 2022 - Book/Report Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. Citation Text: Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…

  8. Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

    psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
    March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

  9. Distractions in the operating room: a survey of the healthcare team. | PSNet

    psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
    November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

  10. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? | PSNet

    psnet.ahrq.gov/issue/failure-administer-recommended-chemotherapy-acceptable-variation-or-cancer-care-quality-blind
    September 02, 2020 - Study Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? Citation Text: Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 20…

  11. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet

    psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day
    July 07, 2021 - Study Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Citation Text: Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…

  12. Patient involvement in patient safety: how willing are patients to participate? | PSNet

    psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate
    September 05, 2013 - Study Classic Patient involvement in patient safety: how willing are patients to participate? Citation Text: Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…

  13. The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet

    psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and
    April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. Citation Text: Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…

  14. Partners in our care: patient safety from a patient perspective. | PSNet

    psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective
    December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …

  15. Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

    psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
    September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

  16. Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. | PSNet

    psnet.ahrq.gov/issue/using-proactive-risk-assessment-hfmea-improve-patient-safety-and-quality-associated
    September 19, 2016 - Study Using proactive risk assessment (HFMEA) to improve patient safety and quality associated with intraocular lens selection and implantation in cataract surgery. Citation Text: DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to Improve Pati…

  17. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. | PSNet

    psnet.ahrq.gov/issue/effects-duty-hour-restrictions-core-competencies-education-quality-life-and-burnout-among
    December 21, 2014 - Study Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. Citation Text: Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout a…

  18. Physician spending and subsequent risk of malpractice claims: observational study. | PSNet

    psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
    May 01, 2015 - Study Classic Physician spending and subsequent risk of malpractice claims: observational study. Citation Text: Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …

  19. Using snowball sampling method with nurses to understand medication administration errors. | PSNet

    psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
    August 02, 2011 - Study Using snowball sampling method with nurses to understand medication administration errors. Citation Text: Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…

  20. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

    psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
    October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …
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