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Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department

September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …
Patient engagement in the inpatient setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review

November 02, 2018 - Review Patient engagement in the inpatient setting: a systematic review. Citation Text: Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141. Copy Citation F…
Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. | PSNet

psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest

May 18, 2022 - Study Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. Citation Text: Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. …
Research Spotlight | Digital Healthcare Research

digital.ahrq.gov/program-overview/research-reports/2023-year-review/research-spotlight

January 01, 2023 - Research Spotlight Going the Last Mile: Bringing Evidence to Bear on Healthcare AI Practice and Policy At Digital Healthcare Research (DHR), the core of our work is research. The projects we fund close critical gaps in evidence about how digital healthcare technologies work in the real world…
Delisted PSOs | PSO

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SHARE: Filter the Results Search for a Delisted PSO Search by Keyword Search Delisted PSOs Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons: Voluntary Relinquishment — the PSO …
Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet

psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant

November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …
Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care

January 26, 2022 - Review Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. Citation Text: Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…
Fatigue among clinicians and the safety of patients. | PSNet

psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients

November 15, 2018 - Study Classic Fatigue among clinicians and the safety of patients. Citation Text: Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255. Copy Citation Format: Google Schola…
National hospital ratings systems share few common scores and may generate confusion instead of clarity. | PSNet

psnet.ahrq.gov/issue/national-hospital-ratings-systems-share-few-common-scores-and-may-generate-confusion-instead

October 31, 2014 - Study Classic National hospital ratings systems share few common scores and may generate confusion instead of clarity. Citation Text: Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may generate confusion instead…
A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting

November 16, 2022 - Study A mixed methods evaluation of medication reconciliation in the primary care setting. Citation Text: Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. | PSNet

psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review

April 20, 2022 - Study Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. Citation Text: Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…
Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. | PSNet

psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing

January 08, 2020 - Study Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. Citation Text: Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Un…
The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. | PSNet

psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems

December 29, 2014 - Study The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Citation Text: Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Sa…
Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. | PSNet

psnet.ahrq.gov/issue/testing-association-between-patient-safety-indicators-and-hospital-structural-characteristics

April 01, 2010 - Study Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. Citation Text: Rivard PE, Elixhauser A, Christiansen CL, et al. Testing the Association Between Patient Safety Indicators and Hospital Structural Char…
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. | PSNet

psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national

November 01, 2023 - Study Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. Citation Text: O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…
Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet

psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation

August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…
Track 1: Patient Safety and Health IT Across Settings and Populations | Digital Healthcare Research

digital.ahrq.gov/track-1-patient-safety-and-health-it-across-settings-and-populations

January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
Association of a web-based handoff tool with rates of medical errors. | PSNet

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April 12, 2023 - Study Association of a web-based handoff tool with rates of medical errors. Citation Text: Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. Copy Citation …
Medicare's policy not to pay for treating hospital-acquired conditions: the impact. | PSNet

psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact

December 04, 2024 - Study Classic Medicare's policy not to pay for treating hospital-acquired conditions: the impact. Citation Text: McNair PD, Luft HS, Bindman AB. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. Health Aff (Millwood). 2009;28(5)…