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Frailty, gaps in care coordination, and preventable adverse events. | PSNet

psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events

January 18, 2023 - Study Frailty, gaps in care coordination, and preventable adverse events. Citation Text: Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7. Copy Citation Form…

Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. | PSNet

psnet.ahrq.gov/issue/effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures

June 21, 2015 - Study Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. Citation Text: Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):41…

Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. | PSNet

psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters

September 14, 2022 - Study Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. Citation Text: Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…

Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. | PSNet

psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary

March 12, 2025 - Study Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. Citation Text: Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin…

CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. | PSNet

psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain-patients-chronic-pain

October 13, 2018 - Study CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Citation Text: Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Healt…

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. | PSNet

psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward

November 14, 2018 - Study Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. Citation Text: Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit

January 17, 2024 - Review Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…

Increased patient safety-related incidents following the transition into Daylight Savings Time. | PSNet

psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time

May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight Savings Time. Citation Text: Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital | PSNet

psnet.ahrq.gov/issue/impact-smart-pump-electronic-health-record-interoperability-patient-safety-and-finances

September 23, 2020 - Study Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital Citation Text: Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospit…

A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients-80-years-or-older-randomized

October 28, 2020 - Study A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Citation Text: Gillespie U, Alassaad A, Henrohn D, et al. A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomi…

The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet

psnet.ahrq.gov/issue/association-nursing-home-characteristics-and-quality-adverse-events-after-hospitalization

August 07, 2019 - Study The association of nursing home characteristics and quality with adverse events after a hospitalization. Citation Text: Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Asso…

Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. | PSNet

psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice

October 13, 2021 - Study Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. Citation Text: Ostrovsky D, Novack V, Smulowitz PB, et al. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. J…

National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. | PSNet

psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction-preventable-harms

November 02, 2022 - Study National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. Citation Text: Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Com…

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative

July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…

How and when organization identification promotes safety voice among healthcare professionals. | PSNet

psnet.ahrq.gov/issue/how-and-when-organization-identification-promotes-safety-voice-among-healthcare-professionals

September 15, 2021 - Study How and when organization identification promotes safety voice among healthcare professionals. Citation Text: Hu X, Casey T. How and when organization identification promotes safety voice among healthcare professionals. J Adv Nurs. 2021;77(9):3733-3744. doi:10.1111/jan.14868. Cop…

Effects of health information technology on patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-health-information-technology-patient-outcomes-systematic-review

December 03, 2018 - Review Classic Effects of health information technology on patient outcomes: a systematic review. Citation Text: Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2…

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. | PSNet

psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and

October 13, 2021 - Study Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Citation Text: Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…

Association of work environment with missed and rushed care: tasks among care aides in nursing homes. | PSNet

psnet.ahrq.gov/issue/association-work-environment-missed-and-rushed-care-tasks-among-care-aides-nursing-homes

August 31, 2016 - Study Association of work environment with missed and rushed care: tasks among care aides in nursing homes. Citation Text: Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1…

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet

psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media

August 18, 2021 - Study Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Citation Text: Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public …

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. | PSNet

psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during

September 24, 2018 - Study Emerging Classic Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. Citation Text: Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associa…

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