- 
                                        
psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
June 22, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. 
 
 
 
 
 Citation Text: 
 Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
September 12, 2016 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?   
 
 
 
 
 Citation Text: 
 Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - Study 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. 
 
 
 
 
 Citation Text: 
 Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropri… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
August 04, 2021 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 High rates of adverse drug events in a highly computerized hospital.   
 
 
 
 
 Citation Text: 
 Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. 
 Copy Citation … 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it-improve-clinical-team
December 22, 2009 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?   
 
 
 
 
 Citation Text: 
 Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork t… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/systematic-review-clinical-decision-support-systems-clinical-oncology-practice
July 19, 2023 - Review 
 
 
 
 
 
 
 
 
 
 A systematic review of clinical decision support systems for clinical oncology practice. 
 
 
 
 
 Citation Text: 
 Pawloski PA, Brooks GA, Nielsen ME, et al. A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice. J Natl Compr Canc Netw. 2019;17(4):331-338. d… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.   
 
 
 
 
 Citation Text: 
 Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. 
 Copy Cita… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
June 14, 2023 - Study 
 
 
 
 
 
 
 
 
 
 Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.   
 
 
 
 
 Citation Text: 
 Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
October 28, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. 
 
 
 
 
 Citation Text: 
 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
June 28, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.   
 
 
 
 
 Citation Text: 
 Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupi… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient
June 15, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. 
 
 
 
 
 Citation Text: 
 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patie… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
October 27, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Medication-related medical emergency team activations: a case review study of frequency and preventability. 
 
 
 
 
 Citation Text: 
 Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual S… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/patient-safety-resident-well-being-and-continuity-care-different-resident-duty-schedules
July 23, 2010 - Study 
 
 
 
 
 
 
 
 
 
 Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. 
 
 
 
 
 Citation Text: 
 Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of care with different … 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/clinicians-assessments-electronic-medication-safety-alerts-ambulatory-care
September 02, 2009 - Study 
 
 
 
 
 
 
 
 
 
 Clinicians' assessments of electronic medication safety alerts in ambulatory care. 
 
 
 
 
 Citation Text: 
 Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial
March 02, 2011 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Bar-coding surgical sponges to improve safety: a randomized controlled trial.     
 
 
 
 
 Citation Text: 
 Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
July 07, 2010 - Study 
 
 
 
 
 
 
 
 
 
 Awareness of diagnosis and follow up care after discharge from the emergency department 
 
 
 
 
 Citation Text: 
 Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. 
 
 
 
 
 Citation Text: 
 Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
May 01, 2019 - Review 
 
 
 
 
 
 
 
 
 
 A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.   
 
 
 
 
 Citation Text: 
 Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency
February 28, 2024 - Review 
 
 
 
 
 
 
 
 
 
 Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.  
 
 
 
 
 Citation Text: 
 Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
February 17, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. 
 
 
 
 
 Citation Text: 
 Amelung D, Whitaker KL, Lennard D, et al. Influence of doctor-patient conversations on behaviours of patients pr…