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Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

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June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

Trust and medical AI: the challenges we face and the expertise needed to overcome them. | PSNet

psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them

July 22, 2020 - Commentary Emerging Classic Trust and medical AI: the challenges we face and the expertise needed to overcome them. Citation Text: Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

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 …

COVID-19 and patient safety: time to tap into our investment in high reliability. | PSNet

psnet.ahrq.gov/issue/covid-19-and-patient-safety-time-tap-our-investment-high-reliability

July 21, 2021 - Commentary COVID-19 and patient safety: time to tap into our investment in high reliability. Citation Text: Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843. Copy…

Patient safety issues from information overload in electronic medical records. | PSNet

psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records

May 04, 2022 - Review Patient safety issues from information overload in electronic medical records. Citation Text: Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. C…

"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. | PSNet

psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary

February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems

March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

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March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings

January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet

psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster

April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

Association of nurse engagement and nurse staffing on patient safety. | PSNet

psnet.ahrq.gov/issue/association-nurse-engagement-and-nurse-staffing-patient-safety

January 22, 2016 - Study Emerging Classic Association of nurse engagement and nurse staffing on patient safety. Citation Text: Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.…

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety

June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…

Race differences in reported harmful patient safety events in healthcare system high reliability organizations. | PSNet

psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability

March 01, 2023 - Study Race differences in reported harmful patient safety events in healthcare system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient S…

Adverse events are common on the intensive care unit: results from a structured record review. | PSNet

psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review

January 28, 2010 - Study Adverse events are common on the intensive care unit: results from a structured record review. Citation Text: Nilsson L, Pihl A, Tågsjö M, et al. Adverse events are common on the intensive care unit: results from a structured record review. Acta Anaesthesiol Scand. 2012;56(8):959…

Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. | PSNet

psnet.ahrq.gov/issue/quality-indicators-implementation-safety-promotion-towards-valid-and-reliable-global

February 03, 2010 - Study Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Citation Text: Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…

Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia

June 07, 2023 - Study Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. Citation Text: Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

Safety of surgical telehealth in the outpatient and inpatient setting. | PSNet

psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting

September 13, 2023 - Review Safety of surgical telehealth in the outpatient and inpatient setting. Citation Text: Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003. Copy Citation Format: …

The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. | PSNet

psnet.ahrq.gov/issue/impact-independent-chemotherapy-prescribing-advanced-practice-providers-patient-safety-and

November 16, 2022 - Study The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. Citation Text: LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safe…

Sources of nurse-sensitive inpatient safety improvement. | PSNet

psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement

July 07, 2021 - Study Sources of nurse-sensitive inpatient safety improvement. Citation Text: Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. Copy Citation Format: DOI Google Scholar BibTeX EndN…

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