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  1. Lessons learned in implementing a chronic opioid therapy management system. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
    July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

  2. Health care-associated infections among critically ill children in the US, 2013-2018. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2013-2018
    May 18, 2022 - Study Health care-associated infections among critically ill children in the US, 2013-2018. Citation Text: Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US, 2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatri…

  3. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. | PSNet

    psnet.ahrq.gov/issue/leadership-behavior-associations-domains-safety-culture-engagement-and-healthcare-worker-well
    February 24, 2021 - Study Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Citation Text: Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Co…

  4. Impact of vendor computerized physician order entry in community hospitals. | PSNet

    psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
    December 31, 2014 - Study Impact of vendor computerized physician order entry in community hospitals. Citation Text: Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7. Copy Cit…

  5. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

    psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
    February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

  6. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

    psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
    March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…

  7. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation. | PSNet

    psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
    December 21, 2016 - Study Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation. Citation Text: Sheard L, Marsh C, O'Hara JK, et al. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-ba…

  8. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. | PSNet

    psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
    April 13, 2022 - Study Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. Citation Text: Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…

  9. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. | PSNet

    psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
    October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Citation Text: Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…

  10. Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-requested-corrections-medical-record-through-use
    October 02, 2024 - Study Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. Citation Text: Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested correc…

  11. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. | PSNet

    psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
    September 09, 2020 - Study Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. Citation Text: Peyrony O, Marbeuf-Gueye C, Truong V, et al. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. Ann Emerg Med. 2020;76(4):405-412.…

  12. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
    March 09, 2022 - Review Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. Citation Text: Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Ope…

  13. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

    psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and
    July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

  14. Patient-clinician diagnostic concordance upon hospital admission. | PSNet

    psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
    October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. 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. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

    psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
    September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

  17. Validation of hospital administrative dataset for adverse event screening. | PSNet

    psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
    May 21, 2009 - Study Validation of hospital administrative dataset for adverse event screening. Citation Text: Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306. …

  18. Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. | PSNet

    psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
    October 22, 2014 - Study Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. Citation Text: Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…

  19. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
    December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…

  20. Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
    October 20, 2021 - Study Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. Citation Text: Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
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