-
psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
November 17, 2021 - Study
Evidence for anchoring bias during physician decision-making.
Citation Text:
Ly DP, Shekelle PG, Song Z. Evidence for anchoring bias during physician decision-making. JAMA Intern Med. 2023;183(8):818-823. doi:10.1001/jamainternmed.2023.2366.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - Commentary
Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.
Citation Text:
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…
-
digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
January 01, 2011 - Using Information Technology to Provide Measurement Based Care for Chronic Illness - 2011
Project Name
Using Information Technology to Provide Measurement Based Care for Chronic Illness
Principal Investigator
Trivedi, Madhukar
Organization
University of Texas Southwestern Med…
-
psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - Study
Error codes at autopsy to study potential biases in diagnostic error.
Citation Text:
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
Copy Citation
F…
-
www.ahrq.gov/es/programs/index.html
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
-
psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
March 18, 2020 - Study
Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery.
Citation Text:
Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…
-
psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
April 12, 2019 - Study
Association between opioid prescribing patterns and abuse in ophthalmology.
Citation Text:
Patel S, Sternberg P. Association Between Opioid Prescribing Patterns and Abuse in Ophthalmology. JAMA Ophthalmol. 2017;135(11):1216-1220. doi:10.1001/jamaophthalmol.2017.4055.
Copy Citatio…
-
psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
December 02, 2020 - Study
Hospital and procedure incidence of pediatric retained surgical items.
Citation Text:
Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054.
Copy Citation
Format:…
-
psnet.ahrq.gov/issue/longitudinal-evaluation-programme-safety-culture-change-mental-health-service
January 24, 2018 - Study
Longitudinal evaluation of a programme for safety culture change in a mental health service.
Citation Text:
Dickens GL, Salamonson Y, Johnson A, et al. Longitudinal evaluation of a programme for safety culture change in a mental health service. J Nurs Manag. 2021;29(4):690-698. doi…
-
psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
October 19, 2022 - Review
Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.
Citation Text:
Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …
-
psnet.ahrq.gov/issue/project-boost-effectiveness-multihospital-effort-reduce-rehospitalization
September 10, 2014 - Study
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
Citation Text:
Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054.
Co…
-
psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
October 23, 2024 - Commentary
Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle.
Citation Text:
Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…
-
psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
September 18, 2024 - Study
Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals.
Citation Text:
Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…
-
psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Citation Text:
Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…
-
psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
September 01, 2021 - Study
A customized triggers program: a children's hospital's experience in improving trigger usability.
Citation Text:
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…
-
psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care
February 03, 2021 - Study
Insufficient communication about medication use at the interface between hospital and primary care.
Citation Text:
Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…
-
www.ahrq.gov/cahps/surveys-guidance/home/index.html
November 01, 2023 - CAHPS Home Health Care Survey
The CAHPS Home Health Care Survey asks patients who receive home healthcare services about their experiences with home healthcare agencies, providers, and staff. This instrument focuses on patients who receive skilled home healthcare services from Medicare-certified Home Health Age…
-
psnet.ahrq.gov/issue/adopting-national-quality-forum-medication-safe-practices-progress-and-barriers-hospital
December 16, 2011 - Study
Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.
Citation Text:
Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress and barriers to hospital implementation. J Hosp Med.…
-
psnet.ahrq.gov/issue/has-leapfrog-group-had-impact-health-care-market
November 13, 2024 - Commentary
Has the Leapfrog Group had an impact on the health care market?
Citation Text:
Galvin RS, Delbanco S, Milstein A, et al. Has the leapfrog group had an impact on the health care market? Health Aff (Millwood). 2005;24(1):228-33.
Copy Citation
Format:
Google Schola…
-
psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
November 16, 2022 - Study
Diagnostic error in pediatric cancer.
Citation Text:
Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML…