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  1. Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet

    psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
    August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

  2. A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication
    May 11, 2022 - Study A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. Citation Text: Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…

  3. Frequency and preventability of adverse drug events in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/frequency-and-preventability-adverse-drug-events-outpatient-setting
    May 15, 2024 - Study Frequency and preventability of adverse drug events in the outpatient setting. Citation Text: Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098. Cop…

  4. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
    March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…

  5. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet

    psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
    October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports. Citation Text: Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687…

  6. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. | PSNet

    psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
    October 07, 2013 - Study Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. Citation Text: Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach…

  7. Comparing VA and Non-VA quality of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
    May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

  8. Perioperative safety determinants in ethnic patient groups. | PSNet

    psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
    February 09, 2022 - Study Perioperative safety determinants in ethnic patient groups. Citation Text: Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545. Copy Citation Format: …

  9. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

    psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
    May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

  10. Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
    October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

  11. Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

    psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
    June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

  12. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. | PSNet

    psnet.ahrq.gov/issue/measuring-impact-ai-diagnosis-hospitalized-patients-randomized-clinical-vignette-survey-study
    December 20, 2020 - Study Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. Citation Text: Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study…

  13. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet

    psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
    April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

  14. Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
    December 21, 2017 - Study Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. Citation Text: Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform A…

  15. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-and-economic-burden-hospital-acquired-conditions-following-common-surgical
    October 21, 2020 - Study Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Citation Text: Horn SR, Liu TC, Horowitz JA, et al. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Spine (Phila Pa 19…

  16. Increased patient safety-related incidents following the transition into Daylight Savings Time. | PSNet

    psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
    May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight Savings Time. Citation Text: Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…

  17. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. | PSNet

    psnet.ahrq.gov/issue/trauma-resuscitation-using-situ-simulation-team-training-trust-study-latent-safety-threat
    October 27, 2021 - Study Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. Citation Text: Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: lat…

  18. ED overcrowding is associated with an increased frequency of medication errors. | PSNet

    psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
    August 20, 2018 - Study ED overcrowding is associated with an increased frequency of medication errors. Citation Text: Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …

  19. Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
    January 17, 2024 - Review Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Prevalence, causes and severity of medication administration errors in the…

  20. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet

    psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
    July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…
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