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  1. Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
    February 12, 2020 - Study Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. Citation Text: Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …

  2. Should health care providers be forced to apologise after things go wrong? | PSNet

    psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
    March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong? Citation Text: McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y. Copy Citation …

  3. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. | PSNet

    psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
    March 15, 2023 - Study Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Citation Text: Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…

  4. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? | PSNet

    psnet.ahrq.gov/issue/do-emergency-physicians-attribute-drug-related-emergency-department-visits-medication-related
    April 22, 2011 - Study Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Citation Text: Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med…

  5. Medication administration errors for older people in long-term residential care. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
    June 26, 2019 - Study Medication administration errors for older people in long-term residential care. Citation Text: Szczepura A, Wild D, Nelson S. Medication administration errors for older people in long-term residential care. BMC Geriatr. 2011;11:82. doi:10.1186/1471-2318-11-82. Copy Citation …

  6. Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. | PSNet

    psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
    September 22, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. Citation Text: Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…

  7. Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. | PSNet

    psnet.ahrq.gov/issue/patterns-opioid-administration-among-opioid-naive-inpatients-and-associations-postdischarge
    November 05, 2008 - Study Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study. Citation Text: Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischa…

  8. Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

    psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
    March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

  9. The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-system-and-not-resuscitation-orders-results-merit-study
    June 02, 2010 - Study The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. Citation Text: Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-…

  10. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
    August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

  11. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. | PSNet

    psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
    January 22, 2014 - Study Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. Citation Text: Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …

  12. Leading successful rapid response teams: a multisite implementation evaluation. | PSNet

    psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
    August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

  13. Whistleblowing over patient safety and care quality: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature
    April 08, 2019 - Review Emerging Classic Whistleblowing over patient safety and care quality: a review of the literature. Citation Text: Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…

  14. National survey on the effect of oncology drug shortages on cancer care. | PSNet

    psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
    April 22, 2015 - Study National survey on the effect of oncology drug shortages on cancer care. Citation Text: McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. Copy Citat…

  15. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. | PSNet

    psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire
    June 25, 2014 - Study Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. Citation Text: Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. Copy…

  16. Medication reconciliation in ambulatory oncology. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
    July 23, 2014 - Study Medication reconciliation in ambulatory oncology. Citation Text: Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  17. Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
    March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

  18. Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. | PSNet

    psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
    April 17, 2019 - Study Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. Citation Text: McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…

  19. Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. | PSNet

    psnet.ahrq.gov/issue/swimming-against-tide-primary-care-physicians-views-deprescribing-everyday-practice
    March 15, 2023 - Study Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. Citation Text: Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:1…

  20. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. | PSNet

    psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
    September 09, 2015 - Review Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. Citation Text: Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J C…
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