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  1. Medication errors during medical emergencies in a large, tertiary care, academic medical center. | PSNet

    psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
    July 31, 2013 - Study Medication errors during medical emergencies in a large, tertiary care, academic medical center. Citation Text: Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…

  2. Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. | PSNet

    psnet.ahrq.gov/issue/characteristics-and-patient-impact-boarding-pediatric-emergency-department-2018-2022
    October 19, 2022 - Study Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. Citation Text: Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. do…

  3. 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: …

  4. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

    psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
    October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

  5. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
    July 31, 2019 - Study The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …

  6. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. | PSNet

    psnet.ahrq.gov/issue/has-covid-pandemic-strengthened-or-weakened-health-care-teams-field-guide-healthy-workforce
    August 14, 2019 - Commentary Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Citation Text: Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs …

  7. The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
    January 18, 2013 - Study The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. Citation Text: Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…

  8. A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. | PSNet

    psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
    September 01, 2018 - Study A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. Citation Text: Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…

  9. Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. | PSNet

    psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
    October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…

  10. Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. | PSNet

    psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
    September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…

  11. Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
    June 16, 2010 - Study Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. Citation Text: Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a …

  12. Transforming the medication regimen review process using telemedicine to prevent adverse events. | PSNet

    psnet.ahrq.gov/issue/transforming-medication-regimen-review-process-using-telemedicine-prevent-adverse-events
    November 11, 2015 - Study Transforming the medication regimen review process using telemedicine to prevent adverse events. Citation Text: Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…

  13. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet

    psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
    September 09, 2015 - Commentary Moving beyond the weekend effect: how can we best target interventions to improve patient care? Citation Text: Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. …

  14. Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. | PSNet

    psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
    September 23, 2020 - Study Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. Citation Text: Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…

  15. How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet

    psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
    May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…

  16. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. | PSNet

    psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health
    January 12, 2022 - Study Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Citation Text: Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and…

  17. Potential biases in machine learning algorithms using electronic health record data. | PSNet

    psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
    June 12, 2019 - Commentary Classic Potential biases in machine learning algorithms using electronic health record data. Citation Text: Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …

  18. The impact of computerized provider order entry on medication errors in a multispecialty group practice. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
    August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…

  19. Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet

    psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
    May 31, 2023 - Study Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. Citation Text: McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…

  20. Medication use leading to emergency department visits for adverse drug events in older adults. | PSNet

    psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
    March 05, 2008 - Study Classic Medication use leading to emergency department visits for adverse drug events in older adults. Citation Text: Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…
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