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2061. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? | PSNet
      psnet.ahrq.gov/issue/dollar-or-disease-burden-caps-healthcare-spending-may-save-money-what-cost-patients
      March 01, 2011 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2062. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet
      psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
      December 21, 2022 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

2063. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. | PSNet
      psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
      May 13, 2020 - View More Related Resources Hospital Reporting Program: Annual Summary

2064. The cost of opioid–related adverse drug events. | PSNet
      psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
      August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

2065. VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet
      psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
      November 22, 2017 - Summary Free full text (PDF) Related news article Save Save to your library

2066. Information overload and missed test results in electronic health record–based settings. | PSNet
      psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings
      April 14, 2011 - Study Information overload and missed test results in electronic health record–based settings. Citation Text: Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013;173(8):702-4. doi:10.1…

2067. The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet
      psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
      January 18, 2023 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2068. Unintended adverse consequences of introducing electronic health records in residential aged care homes. | PSNet
      psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
      March 24, 2019 - Study Unintended adverse consequences of introducing electronic health records in residential aged care homes. Citation Text: Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…

2069. Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet
      psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
      September 10, 2014 - May 1, 2015 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination

2070. Automation of the I-PASS tool to improve transitions of care. | PSNet
      psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
      August 04, 2021 - Study Automation of the I-PASS tool to improve transitions of care. Citation Text: Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. Copy Citation Format: …

2071. Debunking the myth that the majority of medical errors are attributed to communication. | PSNet
      psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication
      February 14, 2024 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

2072. Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. | PSNet
      psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety
      March 18, 2020 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

2073. Early cost and safety benefits of an inpatient electronic health record. | PSNet
      psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
      August 04, 2021 - Study Early cost and safety benefits of an inpatient electronic health record. Citation Text: Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health record. Journal of the American Medical Informatics Association. 2011;18(2). doi:10.1136/ja…

2074. Safety first! Using a checklist for intrafacility transport of adult intensive care patients. | PSNet
      psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
      October 09, 2024 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

2075. AHRQ Safety Program for Perinatal Care: Culture Check-Up Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
      May 01, 2017 - Survey on Patient Safety Culture) based on a unit’s assessment of patient safety culture rather than the summary

2076. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. | PSNet
      psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
      April 13, 2022 - Study Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Citation Text: Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…

2077. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet
      psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
      October 16, 2019 - June 29, 2022 Evaluation of an electronic health record structured discharge summary

2078. Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
      December 19, 2017 - March 9, 2022 Evaluation of an electronic health record structured discharge summary

2079. Positive approaches to safety: learning from what we do well. | PSNet
      psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
      September 15, 2021 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

2080. Shining a Light: Safer Health Care Through Transparency. | PSNet
      psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
      November 23, 2016 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary