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psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
September 30, 2020 - Commentary
From HRO to HERO: making health equity a core system capability.
Citation Text:
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
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psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
October 19, 2022 - Review
Overlapping surgery in arthroplasty - a systematic review and meta-analysis.
Citation Text:
Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta-analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299.
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psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review
February 01, 2012 - Review
Human-simulation-based learning to prevent medication error: a systematic review.
Citation Text:
Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883.
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psnet.ahrq.gov/issue/effect-clinician-feedback-interventions-opioid-prescribing
November 17, 2021 - Study
The effect of clinician feedback interventions on opioid prescribing.
Citation Text:
Navathe AS, Liao JM, Yan XS, et al. The effect of clinician feedback interventions on opioid prescribing. Health Aff (Millwood). 2022;41(3):424-433. doi:10.1377/hlthaff.2021.01407.
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psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
October 30, 2024 - Study
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).
Citation Text:
Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…
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psnet.ahrq.gov/issue/distraction-operating-room-narrative-review-environmental-and-self-initiated-distractions-and
August 28, 2024 - Review
Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers.
Citation Text:
Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated…
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psnet.ahrq.gov/issue/association-between-long-term-opioid-use-family-members-and-persistent-opioid-use-after
January 29, 2020 - Study
Emerging Classic
Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults.
Citation Text:
Harbaugh CM, Lee JS, Chua K-P, et al. Association Between Long-term Opioid Use in Family …
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psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality
February 01, 2012 - Study
Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences.
Citation Text:
Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…
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psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
May 04, 2012 - Study
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Citation Text:
Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…
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psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
May 25, 2022 - Commentary
RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice.
Citation Text:
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…
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psnet.ahrq.gov/issue/context-sensitive-decision-support-infobuttons-electronic-health-records-systematic-review
August 23, 2023 - Review
Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.
Citation Text:
Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017…
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psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
June 19, 2013 - Study
How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.
Citation Text:
Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…
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psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic-clinical-and-systems
August 28, 2024 - Commentary
Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences.
Citation Text:
Gonzalo JD, Haidet P, Papp KK, et al. Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and …
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
October 16, 2013 - Book/Report
National Action Plan for Adverse Drug Event Prevention.
Citation Text:
National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014.
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psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa
March 23, 2011 - Study
A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA.
Citation Text:
Regenbogen SE, Hirose M, Imanaka Y, et al. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Qual Saf Hea…
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psnet.ahrq.gov/curated-library/diagnostic-error
September 01, 2025 - The majority of the diagnostic errors resulted in some form of clinical impact, including short-term … Missed or delayed diagnoses accounted for 21% of 55,377 claims analyzed, and the majority of these cases … Investigators found that three groups of diagnoses accounted for the majority of closed claims and high-severity
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psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
September 25, 2019 - Citation
Related Resources From the Same Author(s)
Debunking the myth that the majority
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - ineffective strategy for preventing further patient safety mishaps, particularly
considering that the majority … The majority of respondents, in all groups,
endorsed punitive measures such as fines, suspensions, or
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - High-Risk Pregnancy Program links clinicians and
patients across the state with UAMS, where the vast majority … Pregnancy Program links patients and clinicians across the state with the medical center,
where the vast majority … The majority of
referrals continue to be managed locally, but patients with abnormal findings may be … access to consultations: Since the implementation of the High-Risk Pregnancy
Program in 2003, the vast majority … Renewing annually, the program contract dedicates
the majority of funding toward the telemedicine infrastructure
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - But it is
disappointing that in the majority of hospitals there has been no change, and some hospitals … A majority of nurses say that they and other staff feel like their mistakes are held against them
and … RW: The majority of nurses in hospitals are working with and through technology.