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  1. Development of a measure of patient safety event learning responses. | PSNet

    psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…

  2. Incorrect surgical procedures within and outside of the operating room: a follow-up report. | PSNet

    psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room-follow-report
    April 30, 2014 - Study Incorrect surgical procedures within and outside of the operating room: a follow-up report. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room: a follow-up report. Arch Surg. 2011;146(11):1235-9. doi:10.1001…

  3. Adverse drug events in U.S. adult ambulatory medical care. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
    June 21, 2010 - Study Classic Adverse drug events in U.S. adult ambulatory medical care. Citation Text: Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…

  4. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet

    psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians
    March 11, 2020 - Study Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. Citation Text: Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…

  5. Preliminary study of patient safety and quality use cases for ICD-11 MMS. | PSNet

    psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
    July 22, 2020 - Study Preliminary study of patient safety and quality use cases for ICD-11 MMS. Citation Text: Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD-11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163. Copy…

  6. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet

    psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
    March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…

  7. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
    June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…

  8. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. | PSNet

    psnet.ahrq.gov/issue/contemporary-evidence-about-hospital-strategies-reducing-30-day-readmissions-national-study
    July 19, 2010 - Study Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. Citation Text: Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. J Am Coll Cardiol. 2012;6…

  9. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. | PSNet

    psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
    January 12, 2022 - Study Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. Citation Text: Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…

  10. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet

    psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
    March 14, 2018 - Study Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Citation Text: Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…

  11. Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet

    psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
    June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…

  12. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
    November 29, 2023 - Study Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. Citation Text: Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. d…

  13. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet

    psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
    October 20, 2021 - Study Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. Citation Text: Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…

  14. Recovery from COVID-19-related disruptions in cancer detection. | PSNet

    psnet.ahrq.gov/issue/recovery-covid-19-related-disruptions-cancer-detection
    November 16, 2022 - Study Recovery from COVID-19-related disruptions in cancer detection. Citation Text: Kim U, Rose J, Carroll BT, et al. Recovery from COVID-19-related disruptions in cancer detection. JAMA Netw Open. 2024;7(10):e2439263. doi:10.1001/jamanetworkopen.2024.39263. Copy Citation Format: …

  15. The value of autopsies in the era of high-tech medicine: discrepant findings persist. | PSNet

    psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist
    October 18, 2023 - Study The value of autopsies in the era of high-tech medicine: discrepant findings persist. Citation Text: Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…

  16. Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
    February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…

  17. Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
    October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

  18. The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
    May 15, 2013 - Review The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Citation Text: van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …

  19. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. | PSNet

    psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital
    September 26, 2012 - Study Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. Citation Text: Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…

  20. FDA drug prescribing warnings: is the black box half empty or half full? | PSNet

    psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
    December 19, 2011 - Study FDA drug prescribing warnings: is the black box half empty or half full? Citation Text: Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. Copy Citation Format: …
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