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  1. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

    psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
    September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

  2. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. | PSNet

    psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
    November 11, 2020 - Study Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. Citation Text: Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2…

  3. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet

    psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
    November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. Citation Text: Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…

  4. Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. | PSNet

    psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
    June 30, 2021 - Study Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. Citation Text: Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7…

  5. Family safety reporting in medically complex children: parent, staff, and leader perspectives. | PSNet

    psnet.ahrq.gov/issue/family-safety-reporting-medically-complex-children-parent-staff-and-leader-perspectives
    July 20, 2022 - Study Family safety reporting in medically complex children: parent, staff, and leader perspectives. Citation Text: Khan A, Baird JD, Kelly MM, et al. Family safety reporting in medically complex children: parent, staff, and leader perspectives. Pediatrics. 2022;149(6):e2021053913. doi:1…

  6. Interventions to improve team effectiveness: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-systematic-review
    September 29, 2021 - Review Interventions to improve team effectiveness: a systematic review. Citation Text: Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol…

  7. Supporting nurses in acute and emergency care settings to speak up. | PSNet

    psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak
    November 29, 2023 - Commentary Supporting nurses in acute and emergency care settings to speak up. Citation Text: Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse. 2024;32(3):16-21. doi:10.7748/en.2023.e2162. Copy Citation Format: DOI Google Scho…

  8. Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. | PSNet

    psnet.ahrq.gov/issue/describing-evidence-linking-interprofessional-education-interventions-improving-delivery-safe
    June 12, 2013 - Review Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. Citation Text: Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventio…

  9. A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

    psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
    November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

  10. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

    psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
    February 01, 2011 - Study Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. Citation Text: Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …

  11. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet

    psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
    February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Citation Text: Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…

  12. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
    December 11, 2024 - Study Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…

  13. Rapid response teams: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
    December 21, 2014 - Review Classic Rapid response teams: a systematic review and meta-analysis. Citation Text: Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424…

  14. Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/longer-work-experience-and-age-associated-safety-attitudes-operating-room-nurses-online-cross
    July 28, 2013 - Study Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. Citation Text: Nyberg A, Olofsson B, Fagerdahl A, et al. Longer work experience and age associated with safety attitudes in operating room nurses: an online cr…

  15. Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet

    psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals
    July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks in hospitals. Citation Text: Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. Copy …

  16. Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
    January 25, 2023 - Review Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. Citation Text: Eggenschwiler LC, Rutjes AWS, Musy SN, et al. Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. PLoS ONE. 2022;17(9):e0273…

  17. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

    psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences
    February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

  18. Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

    psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care
    December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

  19. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
    March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

  20. Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
    June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…
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