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psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
February 17, 2021 - Study
Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.
Citation Text:
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…
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psnet.ahrq.gov/issue/exposures-structural-racism-and-racial-discrimination-among-pregnant-and-early-post-partum
August 12, 2019 - Study
Exposures to structural racism and racial discrimination among pregnant and early post-partum Black women living in Oakland, California.
Citation Text:
Chambers BD, Arabia SE, Arega HA, et al. Exposures to structural racism and racial discrimination among pregnant and early post‐pa…
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psnet.ahrq.gov/issue/family-input-quality-and-safety-fiqs-using-mobile-technology-hospital-reporting-families-and
November 24, 2021 - Study
Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients.
Citation Text:
Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in‐hospital reporting from famili…
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psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
June 14, 2023 - Study
Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout.
Citation Text:
D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…
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psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean
October 19, 2022 - Study
Classic
Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate.
Citation Text:
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…
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psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
September 23, 2020 - Study
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.
Citation Text:
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
…
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psnet.ahrq.gov/issue/state-policies-prescription-drug-monitoring-programs-and-adverse-opioid-related-hospital
August 11, 2021 - Study
State policies for prescription drug monitoring programs and adverse opioid-related hospital events.
Citation Text:
Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610-616. d…
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psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
July 14, 2021 - Study
The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.
Citation Text:
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…
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psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
December 23, 2020 - Study
Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).
Citation Text:
Finney RE, Czinski S, Fjerstad K, et al. Evaluation …
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psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication
January 07, 2015 - Study
Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system.
Citation Text:
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …
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psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry
May 04, 2022 - Study
Classic
Mixed results in the safety performance of computerized physician order entry.
Citation Text:
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician order entry. Health Aff (Millwood). 2010;29(4):65…
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psnet.ahrq.gov/issue/using-global-trigger-tool-surgical-and-neurosurgical-patients-feasibility-study
June 09, 2021 - Study
Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study.
Citation Text:
Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/…
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psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - Study
Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.
Citation Text:
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…
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psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary
March 12, 2025 - Study
Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.
Citation Text:
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin…
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psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications
November 16, 2022 - Study
Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims.
Citation Text:
Quinn PD, Hur K, Chang Z, et al. Incident and long-term opioid therapy among patients with psychiatric conditions and …
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psnet.ahrq.gov/issue/enhancing-departmental-preparedness-covid-19-using-rapid-cycle-situ-simulation
October 07, 2020 - Study
Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.
Citation Text:
Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.202…
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psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
April 22, 2011 - Study
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.
Citation Text:
Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in…
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psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study
November 16, 2022 - Study
'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.
Citation Text:
Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…
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psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
November 26, 2014 - Review
Classic
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.
Citation Text:
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…
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psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
May 08, 2017 - Study
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Citation Text:
Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…