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Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. | PSNet

psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork

June 24, 2015 - Study Classic Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Citation Text: Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…

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…

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet

psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

Defining optimal length of opioid pain medication prescription after common surgical procedures. | PSNet

psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures

August 15, 2018 - Study Defining optimal length of opioid pain medication prescription after common surgical procedures. Citation Text: Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. d…

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers

September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. | PSNet

psnet.ahrq.gov/issue/patient-safety-perspectives-providers-and-nurses-experience-rural-ambulatory-care-practice

January 13, 2010 - Study Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. Citation Text: Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …

Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. | PSNet

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October 19, 2022 - Study Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. Citation Text: Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…

Implementation of a standardized tool for root cause analysis selection. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection

November 06, 2024 - Study Implementation of a standardized tool for root cause analysis selection. Citation Text: Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291. Copy Citatio…

Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach

November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs

February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

Racial bias in cesarean decision-making. | PSNet

psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making

June 02, 2019 - Study Racial bias in cesarean decision-making. Citation Text: Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era

September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review

March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet

psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department

January 26, 2022 - Study Analysis of risk factors for patient safety events occurring in the emergency department. Citation Text: Alsabri M, Boudi Z, Zoubeidi T, et al. Analysis of risk factors for patient safety events occurring in the emergency department. J Patient Saf. 2022;18(1):e124-e135. doi:10.1097…

Surgeon and surgical trainee experiences after adverse patient events. | PSNet

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January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. | PSNet

psnet.ahrq.gov/issue/moving-toward-improved-teamwork-cancer-care-role-psychological-safety-team-communication

October 19, 2012 - Review Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. Citation Text: Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 201…

Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet

psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care

February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…

Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse

October 19, 2022 - Study Classic Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. Citation Text: Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…

Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation

January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

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