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  1. Effect of illness severity and comorbidity on patient safety and adverse events. | PSNet

    psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
    December 01, 2011 - Study Effect of illness severity and comorbidity on patient safety and adverse events. Citation Text: Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…

  2. National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

    psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
    February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…

  3. Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
    August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

  4. Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. | PSNet

    psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
    August 31, 2022 - Study Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. Citation Text: Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…

  5. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet

    psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
    June 30, 2021 - Commentary Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? Citation Text: Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable advers…

  6. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. | PSNet

    psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
    September 09, 2020 - Study Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. Citation Text: Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…

  7. Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. | PSNet

    psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
    July 28, 2023 - Study Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. Citation Text: Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…

  8. Exploring relationships between patient safety culture and patients' assessments of hospital care. | PSNet

    psnet.ahrq.gov/issue/exploring-relationships-between-patient-safety-culture-and-patients-assessments-hospital-care
    December 15, 2010 - Study Exploring relationships between patient safety culture and patients' assessments of hospital care. Citation Text: Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8(3):131-9. d…

  9. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. | PSNet

    psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
    June 16, 2021 - Review Emerging Classic How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Citation Text: Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…

  10. Medical injuries among hospitalized children. | PSNet

    psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
    February 15, 2017 - Study Medical injuries among hospitalized children. Citation Text: Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  11. Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet

    psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
    November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…

  12. Medical error—the third leading cause of death in the US. | PSNet

    psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
    September 16, 2020 - Commentary Medical error—the third leading cause of death in the US. Citation Text: Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  13. Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. | PSNet

    psnet.ahrq.gov/issue/exploring-safety-systems-dispensing-community-pharmacies-focusing-how-staff-relate
    February 17, 2021 - Study Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. Citation Text: Harvey J, Avery A, Ashcroft DM, et al. Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organiz…

  14. Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. | PSNet

    psnet.ahrq.gov/issue/prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care
    August 20, 2018 - Study Classic Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. Citation Text: Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acu…

  15. Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. | PSNet

    psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
    September 11, 2019 - Study Classic Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. Citation Text: Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…

  16. Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/annual-summary/2010
    January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010 Project Name Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management Principal Investigator Williams, Andrew Organization Kaiser Foundation Researc…

  17. Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. | PSNet

    psnet.ahrq.gov/issue/decreased-incidence-cesarean-surgical-site-infection-rate-hospital-wide-perioperative-bundle
    September 08, 2021 - Study Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. Citation Text: Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital‐wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10…

  18. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. | PSNet

    psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
    October 21, 2020 - Study Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. Citation Text: Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag…

  19. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet

    psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
    December 21, 2017 - Study Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. Citation Text: Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an an…

  20. Suffering in silence: a qualitative study of second victims of adverse events. | PSNet

    psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
    February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…
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