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  1. Developing Shared EHR Infrastructure in Wisconsin | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/developing-shared-ehr-infrastructure-wisconsin
    January 01, 2023 - Developing Shared EHR Infrastructure in Wisconsin Project Final Report ( PDF , 69.93 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No s…

  2. A high-reliability organization mindset. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organization-mindset
    April 01, 2020 - Commentary A high-reliability organization mindset. Citation Text: Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. Copy Citation Format: DOI Google Scholar BibTeX En…

  3. What is safety leadership? A systematic review of definitions. | PSNet

    psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-definitions
    October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

  4. Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
    April 10, 2024 - Study Development of patient safety measures to identify inappropriate diagnosis of common infections. Citation Text: White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…

  5. Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. | PSNet

    psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
    October 23, 2024 - Commentary Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. Citation Text: Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…

  6. Large language models for preventing medication direction errors in online pharmacies. | PSNet

    psnet.ahrq.gov/issue/large-language-models-preventing-medication-direction-errors-online-pharmacies
    February 27, 2019 - Study Large language models for preventing medication direction errors in online pharmacies. Citation Text: Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.…

  7. Durable improvements in efficiency, safety, and satisfaction in the operating room. | PSNet

    psnet.ahrq.gov/issue/durable-improvements-efficiency-safety-and-satisfaction-operating-room
    September 23, 2020 - Study Durable improvements in efficiency, safety, and satisfaction in the operating room. Citation Text: Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90. do…

  8. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. | PSNet

    psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
    February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…

  9. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. | PSNet

    psnet.ahrq.gov/issue/optimal-preoperative-assessment-geriatric-surgical-patient-best-practices-guideline-american
    July 13, 2010 - Commentary Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. Citation Text: Chow WB, Rosenthal RA, Merkow RP, et al. Optim…

  10. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet

    psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
    July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

  11. Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

    psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
    September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

  12. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

    psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients
    September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

  13. Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

    psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
    August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

  14. Changing conversations: teaching safety and quality in residency training. | PSNet

    psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
    January 02, 2017 - Study Changing conversations: teaching safety and quality in residency training. Citation Text: Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. Copy Citati…

  15. Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet

    psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
    May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

  16. National pediatric anesthesia safety quality improvement program in the United States. | PSNet

    psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
    March 03, 2011 - Study National pediatric anesthesia safety quality improvement program in the United States. Citation Text: Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.000…

  17. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. | PSNet

    psnet.ahrq.gov/issue/toward-understanding-errors-inpatient-psychiatry-qualitative-inquiry
    December 21, 2018 - Study Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Citation Text: Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. Copy Citation …

  18. Inpatient housestaff discontinuity of care and patient adverse events. | PSNet

    psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
    July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …

  19. Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced
    March 22, 2011 - Study Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? Citation Text: van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality…

  20. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. | PSNet

    psnet.ahrq.gov/issue/identifying-adverse-events-reflections-imperfect-gold-standard-after-20-years-patient-safety
    September 09, 2015 - Commentary Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. Citation Text: Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…
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