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  1. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. | PSNet

    psnet.ahrq.gov/issue/multilevel-factors-associated-time-biopsy-after-abnormal-screening-mammography-results-race
    March 24, 2021 - Study Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. Citation Text: Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race…

  2. Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet

    psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
    February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

  3. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

    psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
    May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

  4. Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. | PSNet

    psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
    May 19, 2021 - Study Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. Citation Text: Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…

  5. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    July 21, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed COVID-19 Pandemic Impact on Healthcare Associated Conditions  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Sam W…

  6. Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet

    psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
    May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

  7. Medical large language models are vulnerable to data-poisoning attacks. | PSNet

    psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks
    November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

  8. A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
    October 29, 2008 - Study A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. Citation Text: Bowie P, McKay J, Dalgetty E, et al. A qualitative study of why general practitioners may participate in significant event analysis and e…

  9. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Strategy 4: IDEAL Discharge Planning (Tool 3) Improving Discharge Outcomes with Patients and Families Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 3) O Guide to Patient and Family …

  10. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
    February 14, 2015 - Study An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Citation Text: Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…

  11. Do hospitals provide lower quality care on weekends? | PSNet

    psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
    January 12, 2022 - Study Do hospitals provide lower quality care on weekends? Citation Text: Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  12. The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. | PSNet

    psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
    February 09, 2022 - Study The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. Citation Text: Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…

  13. Why do people sue doctors? A study of patients and relatives taking legal action. | PSNet

    psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
    August 04, 2021 - Study Classic Why do people sue doctors? A study of patients and relatives taking legal action. Citation Text: Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. …

  14. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet

    psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
    February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

  15. New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/press-releases/new-national-healthcare-safety-dashboard.html
    December 01, 2024 - New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm Press Release Date: December 5, 2024 Today, the National Action Alliance for Patient and Workforce Safety (NAA) at the U.S. Department of Health and Human Services (HHS) launched the National Healthcare Safety Dashboard ,…

  16. "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. | PSNet

    psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
    February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…

  17. Instruments for measuring patient safety competencies in nursing: a scoping review. | PSNet

    psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
    November 09, 2022 - Review Instruments for measuring patient safety competencies in nursing: a scoping review. Citation Text: Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021…

  18. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
    January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. Citation Text: Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…

  19. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

    psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
    March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

  20. Prevention of failure to rescue in obstetric patients: a realist review. | PSNet

    psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
    April 20, 2022 - Review Prevention of failure to rescue in obstetric patients: a realist review. Citation Text: Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. C…
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