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  1. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
    February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…

  2. Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. | PSNet

    psnet.ahrq.gov/issue/encouraging-resident-adverse-event-reporting-qualitative-study-suggestions-front-lines
    July 19, 2023 - Study Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. Citation Text: Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3…

  3. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
    March 28, 2012 - Study Classic Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Citation Text: Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…

  4. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. | PSNet

    psnet.ahrq.gov/issue/look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology
    November 16, 2016 - Study Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. Citation Text: Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology d…

  5. Could breaks reduce general practitioner burnout and improve safety? A daily diary study. | PSNet

    psnet.ahrq.gov/issue/could-breaks-reduce-general-practitioner-burnout-and-improve-safety-daily-diary-study
    August 24, 2016 - Study Could breaks reduce general practitioner burnout and improve safety? A daily diary study. Citation Text: Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.p…

  6. Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
    September 22, 2017 - Study Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. Citation Text: Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…

  7. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. | PSNet

    psnet.ahrq.gov/issue/unplanned-early-hospital-readmission-among-critical-care-survivors-mixed-methods-study
    September 23, 2020 - Study Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. Citation Text: Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.…

  8. Determining medication errors in an adult intensive care unit. | PSNet

    psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
    February 15, 2017 - Study Determining medication errors in an adult intensive care unit. Citation Text: Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788. Copy Cita…

  9. Medication-related problems in critical care survivors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
    August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

  10. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet

    psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
    February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

  11. Using statistical text classification to identify health information technology incidents. | PSNet

    psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
    February 14, 2024 - Study Using statistical text classification to identify health information technology incidents. Citation Text: Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…

  12. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet

    psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse-health-care-events
    May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

  13. Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
    August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

  14. Comparing VA and Non-VA quality of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
    May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

  15. Implementation and evaluation of a prototype consumer reporting system for patient safety events. | PSNet

    psnet.ahrq.gov/issue/implementation-and-evaluation-prototype-consumer-reporting-system-patient-safety-events
    February 12, 2020 - Study Implementation and evaluation of a prototype consumer reporting system for patient safety events. Citation Text: Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 201…

  16. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet

    psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
    November 16, 2016 - Review Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. Citation Text: Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping …

  17. Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet

    psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
    February 17, 2021 - Study Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. Citation Text: Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system…

  18. Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

    psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
    April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

  19. Providers' perceptions of communication breakdowns in cancer care. | PSNet

    psnet.ahrq.gov/issue/providers-perceptions-communication-breakdowns-cancer-care
    March 11, 2013 - Study Providers' perceptions of communication breakdowns in cancer care. Citation Text: Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1. Copy Citation Forma…

  20. Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet

    psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
    February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…
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