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psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records
September 23, 2020 - Study
Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.
Citation Text:
Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electr…
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psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
January 31, 2024 - Commentary
A 60-year-old man with delayed care for a renal mass.
Citation Text:
Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496.
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psnet.ahrq.gov/issue/comparing-utility-standard-pediatric-resuscitation-cart-pediatric-resuscitation-cart-based
December 15, 2011 - Study
Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios.
Citation Text:
Agarwal S, Swanson S, Murphy A, et al. Comparing …
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psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
September 01, 2016 - Study
Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care.
Citation Text:
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…
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psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
October 12, 2016 - Study
Incident reporting behaviours following the Francis report: a cross-sectional survey.
Citation Text:
Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849.
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psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
March 17, 2014 - Study
Emerging Classic
Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.
Citation Text:
McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …
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psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
October 29, 2008 - Study
A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment.
Citation Text:
Bowie P, McKay J, Dalgetty E, et al. A qualitative study of why general practitioners may participate in significant event analysis and e…
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psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
April 12, 2011 - Study
Identifying risk factors for medical injury.
Citation Text:
Guse CE, Yang H, Layde PM. Identifying risk factors for medical injury. Int J Qual Health Care. 2006;18(3):203-10.
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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
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psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
January 08, 2014 - Study
"Every error counts": a web-based incident reporting and learning system for general practice.
Citation Text:
Hoffmann B, Beyer M, Rohe J, et al. "Every error counts": a web-based incident reporting and learning system for general practice. Qual Saf Health Care. 2008;17(4):307-12…
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psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
February 20, 2019 - Study
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study.
Citation Text:
Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…
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psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
April 22, 2016 - Study
Assuring safe patient care in a level III NICU in anticipation of hospital closure.
Citation Text:
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
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psnet.ahrq.gov/issue/using-patient-safety-indicators-detect-potential-safety-events-among-us-veterans-psychotic
November 16, 2022 - Study
Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.
Citation Text:
Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans w…
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psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Study
Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.
Citation Text:
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication
February 23, 2009 - Study
Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.
Citation Text:
Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medi…
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psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
April 12, 2023 - Review
The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review.
Citation Text:
Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility charact…
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
February 16, 2022 - Study
Detection rates of mild cognitive impairment in primary care for the United States Medicare population.
Citation Text:
Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.
Citation Text:
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…