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psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
September 29, 2017 - Study
Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed.
Citation Text:
Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
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psnet.ahrq.gov/issue/racial-differences-antibiotic-prescribing-primary-care-pediatricians
April 22, 2020 - Study
Racial differences in antibiotic prescribing by primary care pediatricians.
Citation Text:
Gerber JS, Prasad PA, Localio AR, et al. Racial differences in antibiotic prescribing by primary care pediatricians. Pediatrics. 2013;131(4):677-684. doi:10.1542/peds.2012-2500.
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psnet.ahrq.gov/issue/patient-and-visitor-aggression-healthcare-survey-exploring-organisational-safety-culture-and
September 20, 2011 - Study
Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy.
Citation Text:
Heckemann B, Hahn S, Halfens RJG, et al. Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy…
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psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
April 24, 2018 - Study
Autopsy as a quality control measure for radiology, and vice versa.
Citation Text:
Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386.
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psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - Review
How well is quality improvement described in the perioperative care literature? A systematic review.
Citation Text:
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - Study
Classic
Preventing medical injury.
Citation Text:
Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x.
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psnet.ahrq.gov/issue/inpatient-ehr-user-experience-and-hospital-ehr-safety-performance
April 24, 2018 - Study
Inpatient EHR user experience and hospital EHR safety performance.
Citation Text:
Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152.
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psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
August 20, 2018 - Study
Errors in nurse-led triage: an observational study.
Citation Text:
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud. 2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788.
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psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
February 14, 2017 - Review
Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review.
Citation Text:
Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual …
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psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
October 19, 2022 - Study
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.
Citation Text:
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…
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psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - Study
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
Citation Text:
Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Press…
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psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
April 20, 2022 - Study
A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.
Citation Text:
Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergen…
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psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - Study
Patient falls in the operating room setting: an analysis of reported safety events.
Citation Text:
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…
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psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
September 29, 2017 - Commentary
Classic
Five system barriers to achieving ultrasafe health care.
Citation Text:
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64.
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psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
January 22, 2016 - Study
Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system.
Citation Text:
Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verifi…
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psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
May 18, 2022 - Study
Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013.
Citation Text:
Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…
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psnet.ahrq.gov/issue/detecting-adverse-events-surgery-comparing-events-detected-veterans-health-administration
June 20, 2011 - Study
Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators.
Citation Text:
Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events …
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psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated
August 25, 2021 - Study
Emerging Classic
System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety.
Citation Text:
Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…
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psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
April 13, 2011 - Study
Classic
Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.
Citation Text:
Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…
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psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care
March 02, 2011 - Study
The American College of Surgeons' closed claims study: new insights for improving care.
Citation Text:
Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.…