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  1. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
    May 29, 2024 - Commentary 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. Citation Text: Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…

  2. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

    psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient
    July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

  3. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet

    psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
    September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…

  4. First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
    July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

  5. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-experience-hospital-settings-scoping
    November 17, 2014 - Review Relationship between patient safety culture and patient experience in hospital settings: a scoping review. Citation Text: Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Healt…

  6. Lab/Pharmacy Data Sign up and Commitment Letter (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn23.pdf
    March 04, 2011 - Lab/Pharmacy Data Sign up and Commitment Letter 1 Memorandum To: MHA Member Hospitals From: Mark Sonneborn, V.P. Information Services Date: 3/4/2011 Re: Lab/Pharmacy Data Sign up and Commitment Letter As part of a 3-year federal research grant, MHA is planning to add laboratory data and pharmacy dat…

  7. A piece of my mind. Hard times and hard stops. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops
    December 11, 2024 - Commentary A piece of my mind. Hard times and hard stops. Citation Text: Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  8. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

    psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
    June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

  9. Emergency department adverse events detected using the emergency department trigger tool. | PSNet

    psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
    September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

  10. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. | PSNet

    psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships
    December 04, 2024 - Commentary Emerging Classic Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. Citation Text: Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…

  11. Causes of use errors in ventilation devices--systematic review. | PSNet

    psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
    October 12, 2022 - Review Causes of use errors in ventilation devices--systematic review. Citation Text: Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. Copy Citation Format: D…

  12. Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet

    psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
    September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…

  13. Syndromic surveillance for health information system failures: a feasibility study. | PSNet

    psnet.ahrq.gov/issue/syndromic-surveillance-health-information-system-failures-feasibility-study
    November 03, 2015 - Study Syndromic surveillance for health information system failures: a feasibility study. Citation Text: Ong M-S, Magrabi F, Coiera E. Syndromic surveillance for health information system failures: a feasibility study. J Am Med Inform Assoc. 2013;20(3):506-12. doi:10.1136/amiajnl-2012-00…

  14. Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives. | PSNet

    psnet.ahrq.gov/issue/focus-quadruple-aim-development-resiliency-center-promote-faculty-and-staff-wellness
    February 10, 2015 - Commentary Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives. Citation Text: Morrow E, Call M, Marcus R, et al. Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness Initiatives.…

  15. Decreasing surgical site infections by developing a high reliability culture. | PSNet

    psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
    July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

  16. Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience. | PSNet

    psnet.ahrq.gov/issue/blueprint-restructuring-department-surgery-concert-health-care-system-during-pandemic
    September 27, 2017 - Commentary Blueprint for restructuring a department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience. Citation Text: Zarzaur BL, Stahl CC, Greenberg JA, et al. Blueprint for restructuring a department of surgery in concert with t…

  17. Checking the lists: a systematic review of electronic checklist use in health care. | PSNet

    psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
    August 08, 2018 - Review Checking the lists: a systematic review of electronic checklist use in health care. Citation Text: Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. Copy Citat…

  18. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet

    psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
    November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

  19. Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

    psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care
    February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

  20. Strategies for sustaining a quality improvement collaborative and its patient safety gains. | PSNet

    psnet.ahrq.gov/issue/strategies-sustaining-quality-improvement-collaborative-and-its-patient-safety-gains
    February 01, 2011 - Study Strategies for sustaining a quality improvement collaborative and its patient safety gains. Citation Text: Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…
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