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  1. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 2020 - Study A survey of outpatient internal medicine clinician perceptions of diagnostic error. Citation Text: Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. Co…

  2. Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. | PSNet

    psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
    July 05, 2017 - Study Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. Citation Text: Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…

  3. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? | PSNet

    psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
    March 05, 2025 - Study Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? Citation Text: Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregive…

  4. Avoiding the unintended consequences of growth in medical care: how might more be worse? | PSNet

    psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-medical-care-how-might-more-be-worse
    April 24, 2018 - Commentary Classic Avoiding the unintended consequences of growth in medical care: how might more be worse? Citation Text: Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53. …

  5. Residents' numeric inputting error in computerized physician order entry prescription. | PSNet

    psnet.ahrq.gov/issue/residents-numeric-inputting-error-computerized-physician-order-entry-prescription
    March 24, 2019 - Study Residents' numeric inputting error in computerized physician order entry prescription. Citation Text: Wu X, Wu C, Zhang K, et al. Residents' numeric inputting error in computerized physician order entry prescription. Int J Med Inform. 2016;88:25-33. doi:10.1016/j.ijmedinf.2016.01.0…

  6. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensive
    June 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…

  7. Can patients report patient safety incidents in a hospital setting? A systematic review. | PSNet

    psnet.ahrq.gov/issue/can-patients-report-patient-safety-incidents-hospital-setting-systematic-review
    December 21, 2016 - Review Can patients report patient safety incidents in a hospital setting? A systematic review. Citation Text: Ward JK, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21(8):685-99. doi:10.1136/bmjqs-2011-000213. …

  8. Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
    March 17, 2014 - Study Emerging Classic Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. Citation Text: McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …

  9. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. | PSNet

    psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers
    November 27, 2013 - Study Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. Citation Text: Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…

  10. Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

    psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
    June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

  11. Approaches for improving continuity of care in medication management: a systematic review. | PSNet

    psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review
    April 13, 2022 - Review Approaches for improving continuity of care in medication management: a systematic review. Citation Text: Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. d…

  12. The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet

    psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
    March 02, 2022 - Study The Harvard Medical Practice Study trigger system performance in deceased patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…

  13. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
    June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…

  14. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

    psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

  15. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
    September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Citation Text: Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…

  16. Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians. | PSNet

    psnet.ahrq.gov/issue/use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
    February 16, 2011 - Study Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians. Citation Text: Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and…

  17. Simulation safety first: an imperative. | PSNet

    psnet.ahrq.gov/issue/simulation-safety-first-imperative
    February 13, 2014 - Commentary Simulation safety first: an imperative. Citation Text: Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  18. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
    November 13, 2019 - Review Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. Citation Text: Fung L, Boet S, Bould D, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisci…

  19. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. | PSNet

    psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
    November 16, 2022 - Study Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Citation Text: Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…

  20. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. | PSNet

    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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