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Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety

March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…

Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. | PSNet

psnet.ahrq.gov/issue/just-what-doctor-ordered-missed-ordering-venous-thromboembolism-chemoprophylaxis-associated

September 07, 2022 - Study Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. Citation Text: Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous t…

Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review

April 06, 2022 - Review Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Citation Text: Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 20…

U.S. adoption of computerized physician order entry systems. | PSNet

psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems

April 24, 2018 - Study Classic U.S. adoption of computerized physician order entry systems. Citation Text: Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63. Copy Citation Format: …

Patient safety perceptions of primary care providers after implementation of an electronic medical record system. | PSNet

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December 21, 2014 - Study Patient safety perceptions of primary care providers after implementation of an electronic medical record system. Citation Text: McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after implementation of an electronic medical record system. …

Allocation of physician time in ambulatory practice: a time and motion study in four specialties. | PSNet

psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties

August 26, 2020 - Study Classic Allocation of physician time in ambulatory practice: a time and motion study in four specialties. Citation Text: Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann …

Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet

psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings

March 09, 2022 - Study Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Citation Text: Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…

High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. | PSNet

psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch

July 11, 2012 - Study High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Citation Text: Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…

A systems approach to morbidity and mortality conference. | PSNet

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July 22, 2020 - Study Classic A systems approach to morbidity and mortality conference. Citation Text: Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. Co…

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. | PSNet

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September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent

January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. | PSNet

psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures

March 05, 2025 - Study Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. Citation Text: Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. | PSNet

psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured

February 12, 2020 - Review Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. Citation Text: Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their …

Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. | PSNet

psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety

March 23, 2022 - Study Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. Citation Text: Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety…

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer

December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. | PSNet

psnet.ahrq.gov/issue/safety-time-covid-19-pandemic-how-keep-our-oncology-patients-and-healthcare-workers-safe

September 03, 2011 - Commentary Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. Citation Text: Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. J Natl Co…

Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. | PSNet

psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among

March 02, 2022 - Study Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. Citation Text: Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novic…

Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. | PSNet

psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen

September 27, 2023 - Study Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. Citation Text: Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…

Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. | PSNet

psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients

December 21, 2014 - Slideset Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. Citation Text: Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…

Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. | PSNet

psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals

January 30, 2019 - Review Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. Citation Text: van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at…

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