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  1. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
    April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

  2. Medication rounds: a tool to promote medication safety for children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/medication-rounds-tool-promote-medication-safety-children-medical-complexity
    February 12, 2020 - Commentary Medication rounds: a tool to promote medication safety for children with medical complexity. Citation Text: Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):2…

  3. Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. | PSNet

    psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
    November 18, 2016 - Commentary Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. Citation Text: Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…

  4. Creating a safer health care system: finding the constraint. | PSNet

    psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
    February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  5. An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
    April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…

  6. Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training | PSNet

    psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
    November 11, 2020 - Commentary Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training Citation Text: Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to qu…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33660/psn-pdf
    December 01, 2007 - Number one, because there's a notion that this is not something that falls within our accountability

  8. Lesson from the VA's Team Training Program | PSNet

    psnet.ahrq.gov/perspective/lesson-vas-team-training-program
    November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8. … Related Resources From the Same Author(s) Root cause analysis of reported patient falls

  9. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet

    psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
    March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…

  10. Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic
    March 02, 2011 - Review Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. Citation Text: Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…

  11. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. | PSNet

    psnet.ahrq.gov/issue/impact-covid-19-pandemic-experiences-hospitalized-patients-scoping-review
    September 21, 2022 - Review Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. Citation Text: Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1…

  12. Transforming the medication regimen review process using telemedicine to prevent adverse events. | PSNet

    psnet.ahrq.gov/issue/transforming-medication-regimen-review-process-using-telemedicine-prevent-adverse-events
    November 11, 2015 - Study Transforming the medication regimen review process using telemedicine to prevent adverse events. Citation Text: Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…

  13. The new recommendations on duty hours from the ACGME Task Force. | PSNet

    psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
    July 14, 2021 - Commentary Classic The new recommendations on duty hours from the ACGME Task Force. Citation Text: Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800. Copy…

  14. Implementing medication reconciliation in outpatient pediatrics. | PSNet

    psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
    September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …

  15. A framework for evaluating the appropriateness of clinical decision support alerts and responses. | PSNet

    psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses
    March 21, 2017 - Study A framework for evaluating the appropriateness of clinical decision support alerts and responses. Citation Text: McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…

  16. Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

    psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
    May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

  17. Patient safety in emergency departments: a problem for health care systems? An international survey. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
    February 26, 2020 - Study Patient safety in emergency departments: a problem for health care systems? An international survey. Citation Text: Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…

  18. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. | PSNet

    psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
    November 27, 2013 - Study Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Citation Text: Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(…

  19. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet

    psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
    August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…

  20. How would final-year medical students perform if their skill-based prescription assessment was real life? | PSNet

    psnet.ahrq.gov/issue/how-would-final-year-medical-students-perform-if-their-skill-based-prescription-assessment
    October 18, 2023 - Study How would final-year medical students perform if their skill-based prescription assessment was real life? Citation Text: Kalfsvel L, Hoek K, Bethlehem C, et al. How would final‐year medical students perform if their skill‐based prescription assessment was real life? Br J Clin Pharm…
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