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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72618/psn-pdf
    December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care December 23, 2020 https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards- medical-decisions Summary Nudges are a change in the way choices ar…

  2. Contextual errors and failures in individualizing patient care: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
    October 29, 2012 - Study Classic Contextual errors and failures in individualizing patient care: a multicenter study. Citation Text: Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…

  3. Structural racism--a 60-year-old black woman with breast cancer. | PSNet

    psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
    December 17, 2020 - Commentary Emerging Classic Structural racism--a 60-year-old black woman with breast cancer. Citation Text: Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J Med. 2019;380(16):1489-1493. doi:10.1056/nejmp18…

  4. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. | PSNet

    psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
    July 21, 2021 - Study Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. Citation Text: Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…

  5. eCare Plan Past Contributors | Agency for Healthcare Research and Quality

    www.ahrq.gov/ecareplan/past-contributors/index.html
    August 01, 2024 - eCare Plan Past Contributors Technical Expert Panels The Technical Expert Panels (TEP) were created to identify data elements important for care for people with Long COVID, type 2 diabetes, chronic pain and opioid use, cardiovascular diseases, and chronic kidney disease—especially in the context of multiple chr…

  6. 8. Appendix D: Grant Summaries | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 8. Appendix D: Grant Summaries Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary …

  7. An implementation strategy for a multicenter pediatric rapid response system in Ontario. | PSNet

    psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
    September 09, 2015 - Commentary An implementation strategy for a multicenter pediatric rapid response system in Ontario. Citation Text: Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …

  8. Increased mortality and costs associated with adverse events in intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
    January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

  9. The impact of transition to a digital hospital on medication errors (TIME study). | PSNet

    psnet.ahrq.gov/issue/impact-transition-digital-hospital-medication-errors-time-study
    March 27, 2024 - Study The impact of transition to a digital hospital on medication errors (TIME study). Citation Text: Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. …

  10. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

    psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
    April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

  11. Family medicine presence on labor and delivery: effect on safety culture and cesarean delivery. | PSNet

    psnet.ahrq.gov/issue/family-medicine-presence-labor-and-delivery-effect-safety-culture-and-cesarean-delivery
    May 24, 2023 - Study Family medicine presence on labor and delivery: effect on safety culture and cesarean delivery. Citation Text: VanGompel EW, Singh L, Carlock F, et al. Family medicine presence on labor and delivery: effect on safety culture and cesarean delivery. Ann Fam Med. 2024;22(5):375-382. d…

  12. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
    February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Citation Text: Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…

  13. Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. | PSNet

    psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
    September 23, 2020 - Study Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. Citation Text: Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…

  14. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…

  15. Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

    psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
    May 23, 2018 - Review Potential consequences of patient complications for surgeon well-being: a systematic review. Citation Text: Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…

  16. Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

    psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
    November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

  17. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
    August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

  18. Correlation between hospital finances and quality and safety of patient care. | PSNet

    psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
    January 12, 2022 - Study Correlation between hospital finances and quality and safety of patient care. Citation Text: Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124. C…

  19. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet

    psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
    November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

  20. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
    May 26, 2021 - Study A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. Citation Text: Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Pa…
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