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  1. Predicting avoidable hospital events in Maryland. | PSNet

    psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
    April 06, 2022 - Study Predicting avoidable hospital events in Maryland. Citation Text: Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. Copy Citation Format: DOI Google Scholar BibTeX En…

  2. Association of opioid prescribing with opioid consumption after surgery in Michigan. | PSNet

    psnet.ahrq.gov/issue/association-opioid-prescribing-opioid-consumption-after-surgery-michigan
    December 02, 2020 - Study Classic Association of opioid prescribing with opioid consumption after surgery in Michigan. Citation Text: Howard R, Fry B, Gunaseelan V, et al. Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan. JAMA Surg. 2019;154(1):e1…

  3. Machine learning to enhance electronic detection of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
    December 18, 2024 - Commentary Machine learning to enhance electronic detection of diagnostic errors. Citation Text: Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. Copy Cit…

  4. Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. | PSNet

    psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
    July 12, 2017 - Study Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. Citation Text: Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…

  5. A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

    psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
    January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

  6. Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. | PSNet

    psnet.ahrq.gov/issue/systematically-improving-physician-assignment-during-hospital-transitions-care-enhancing
    March 14, 2022 - Study Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. Citation Text: Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-hospital transiti…

  7. Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. | PSNet

    psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
    July 01, 2017 - Study Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. Citation Text: Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee-Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906…

  8. Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. | PSNet

    psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
    March 16, 2022 - Study Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. Citation Text: Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills …

  9. Remote patient monitoring improves patient falls and reduces harm. | PSNet

    psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
    April 16, 2018 - Study Remote patient monitoring improves patient falls and reduces harm. Citation Text: Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749. Copy Citation Form…

  10. Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. | PSNet

    psnet.ahrq.gov/issue/supporting-nursing-midwifery-and-allied-health-professional-students-raise-concerns-quality
    November 26, 2014 - Review Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. Citation Text: Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…

  11. Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
    September 29, 2021 - Review Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. Citation Text: Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional Healthcare Settings: A Systema…

  12. Reduction in opioid prescribing through evidence-based prescribing guidelines. | PSNet

    psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
    January 27, 2019 - Study Reduction in opioid prescribing through evidence-based prescribing guidelines. Citation Text: Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436. Co…

  13. Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

    psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina
    September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

  14. A decade of preventing harm. | PSNet

    psnet.ahrq.gov/issue/decade-preventing-harm
    July 10, 2008 - Commentary A decade of preventing harm. Citation Text: Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  15. It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet

    psnet.ahrq.gov/issue/its-sending-message-bottle-qualitative-study-consequences-one-way-communication-technologies
    December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

  16. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

    psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
    June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

  17. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
    March 24, 2019 - Review The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. Citation Text: Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…

  18. Patient safety near misses – still missing opportunities to learn. | PSNet

    psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn
    July 10, 2024 - Study Patient safety near misses – still missing opportunities to learn. Citation Text: Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. Copy Citation …

  19. The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
    December 21, 2014 - Study The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. Citation Text: Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results …

  20. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet

    psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
    March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…
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