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  1. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital | PSNet

    psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
    November 16, 2022 - Journal Article Improving the quality of insulin prescribing for people with diabetes being discharged from hospital Citation Text: Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital. BMJ Open Qual. 2…

  2. Screening electronic health record–related patient safety reports using machine learning. | PSNet

    psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using-machine-learning
    May 30, 2016 - Study Screening electronic health record–related patient safety reports using machine learning. Citation Text: Marella WM, Sparnon E, Finley E. Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. J Patient Saf. 2014;13(1):31-36. doi:10.1097/pts.00000…

  3. Medication errors among adults and children with cancer in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
    January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

  4. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. | PSNet

    psnet.ahrq.gov/issue/white-patients-physical-responses-healthcare-treatments-are-influenced-provider-race-and
    April 04, 2016 - Study White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Citation Text: Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Proc Natl Acad …

  5. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health
    March 25, 2020 - Study Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. Citation Text: Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…

  6. How health care systems let our patients down: a systematic review into suicide deaths. | PSNet

    psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
    October 19, 2022 - Review How health care systems let our patients down: a systematic review into suicide deaths. Citation Text: Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…

  7. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet

    psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
    November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. Citation Text: Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointest…

  8. Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet

    psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
    October 29, 2017 - Study Suicide and suicide attempts on hospital grounds and clinic areas. Citation Text: Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. Copy Citation Format: …

  9. Improving medication error reporting in hospice care. | PSNet

    psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
    June 22, 2022 - Study Improving medication error reporting in hospice care. Citation Text: Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. Copy Citation Format: DOI Go…

  10. Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. | PSNet

    psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
    November 18, 2016 - Commentary Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. Citation Text: Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…

  11. Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet

    psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low-threshold-reporting
    September 27, 2017 - Study Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. Citation Text: Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementi…

  12. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet

    psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
    August 20, 2018 - Study Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Citation Text: Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…

  13. Effectiveness of acute care remote triage systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
    March 14, 2022 - Review Emerging Classic Effectiveness of acute care remote triage systems: a systematic review. Citation Text: Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145.…

  14. Organisational culture: variation across hospitals and connection to patient safety climate. | PSNet

    psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate
    March 17, 2010 - Study Organisational culture: variation across hospitals and connection to patient safety climate. Citation Text: Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…

  15. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
    September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

  16. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. | PSNet

    psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
    April 15, 2020 - Commentary Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Citation Text: Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…

  17. Virtual Continuity and its Impact on Complex Hospitalized Patients’ Care - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
    January 01, 2012 - Virtual Continuity and its Impact on Complex Hospitalized Patients’ Care - 2012 Project Name Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Principal Investigator Smith, Kenneth J. Organization University of Pittsburgh Funding Mechanism PAR…

  18. A scoping review of distributed cognition in acute care clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
    April 08, 2020 - Review A scoping review of distributed cognition in acute care clinical decision-making. Citation Text: Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. Copy…

  19. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. | PSNet

    psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
    April 13, 2022 - Study Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. Citation Text: Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer…

  20. Register-based research of adverse events revealing incomplete records threatening patient safety. | PSNet

    psnet.ahrq.gov/issue/register-based-research-adverse-events-revealing-incomplete-records-threatening-patient
    October 06, 2021 - Review Register-based research of adverse events revealing incomplete records threatening patient safety. Citation Text: Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing incomplete records threatening patient safety. Stud Health Technol Info…
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