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What words convey: the potential for patient narratives to inform quality improvement. | PSNet

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August 19, 2015 - Study What words convey: the potential for patient narratives to inform quality improvement. Citation Text: Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…

Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/improving-safety-and-eliminating-redundant-tests-cutting-costs-us-hospitals

May 27, 2011 - Study Classic Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Citation Text: Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(…

Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

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August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. | PSNet

psnet.ahrq.gov/issue/simulation-tool-improve-safety-pre-hospital-anaesthesia-pilot-study

October 19, 2022 - Study Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. Citation Text: Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365…

Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. | PSNet

psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace

August 08, 2007 - Book/Report Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Citation Text: Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254. C…

Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet

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March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet

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June 06, 2018 - Review Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. Citation Text: Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0…

Managing patient access and flow in the emergency department to improve patient safety. | PSNet

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April 16, 2018 - Newspaper/Magazine Article Managing patient access and flow in the emergency department to improve patient safety. Citation Text: Managing patient access and flow in the emergency department to improve patient safety. PA-PSRS Patient Saf Advis. 2010;7:123-134. Copy Citation …

Feedback from incident reporting: information and action to improve patient safety. | PSNet

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August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…

Primers | PSNet

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March 15, 2025 - Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Latest Primers Clinical Decision Support Systems March…

System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet

psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation

July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2024 View more articles from the same…

Problem list completeness in electronic health records: a multi-site study and assessment of success factors. | PSNet

psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success

April 29, 2018 - Study Problem list completeness in electronic health records: a multi-site study and assessment of success factors. Citation Text: Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-site study and assessment of success factors. Int J …

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet

psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and

July 01, 2016 - Study Classic One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. Citation Text: Maben J, Griffiths P, Penfold C, et al. One size fits all? Mixed methods evaluation of the…

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies

March 10, 2021 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. Citation Text: Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…

Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. | PSNet

psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision

December 21, 2022 - Study Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. Citation Text: Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors am…

Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. | PSNet

psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop

November 26, 2014 - Study Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. Citation Text: Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…

Individual and team-based medical error disclosure: dialectical tensions among health care providers. | PSNet

psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care

September 27, 2017 - Study Individual and team-based medical error disclosure: dialectical tensions among health care providers. Citation Text: Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…

Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet

psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology

July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. | PSNet

psnet.ahrq.gov/issue/nurse-interrupted-development-realistic-medication-administration-simulation-undergraduate

September 27, 2016 - Commentary Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. Citation Text: Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses. Nurse …

Improving patient safety using interactive, evidence-based decision support tools. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-using-interactive-evidence-based-decision-support-tools

September 14, 2022 - Commentary Improving patient safety using interactive, evidence-based decision support tools. Citation Text: Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. Copy Citation Form…

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