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Patient feedback for safety improvement in primary care: results from a feasibility study. | PSNet

psnet.ahrq.gov/issue/patient-feedback-safety-improvement-primary-care-results-feasibility-study

December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. | PSNet

psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ

June 08, 2022 - Study Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. Citation Text: Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method use…

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

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December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …

Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet

psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors

April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…

Impact of computerized physician order entry alerts on prescribing in older patients. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients

September 23, 2020 - Study Impact of computerized physician order entry alerts on prescribing in older patients. Citation Text: Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015…

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k

April 13, 2022 - Study Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. Citation Text: Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …

Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks

July 19, 2023 - Review Classic Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. Citation Text: Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of t…

Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing. | PSNet

psnet.ahrq.gov/issue/care-quality-patient-safety-and-nurse-outcomes-hospitals-serving-economically-disadvantaged

December 09, 2020 - Study Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing. Citation Text: Viscardi MK, French R, Brom H, et al. Care quality, patient safety, and nurse outcomes at hospitals serving economically disad…

Safety risks and workflow implications associated with nursing-related free-text communication orders. | PSNet

psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication

February 17, 2021 - Study Safety risks and workflow implications associated with nursing-related free-text communication orders. Citation Text: Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

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November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. | PSNet

psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care

November 26, 2014 - Review Classic Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. Citation Text: Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet

psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united

December 02, 2020 - Study Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Citation Text: Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United …

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases

August 18, 2021 - Study Emerging Classic Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Citation Text: Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…

Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. | PSNet

psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity

March 09, 2022 - Study Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. Citation Text: Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. J Health…

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…

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…

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…

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…

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…

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;…

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