-
psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
March 10, 2021 - Review
Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.
Citation Text:
Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…
-
psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
July 11, 2018 - Study
Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program?
Citation Text:
Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…
-
psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
May 25, 2011 - Review
The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.
Citation Text:
Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry syst…
-
psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
August 21, 2013 - Study
A qualitative study of speaking out about patient safety concerns in intensive care units.
Citation Text:
Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscim…
-
psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
September 23, 2020 - Study
"SWARMing" to improve patient care: a novel approach to root cause analysis.
Citation Text:
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
Copy Citation
Format: …
-
psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
June 24, 2020 - Study
Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.
Citation Text:
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
-
psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
August 11, 2021 - Study
Costs of intravenous adverse drug events in academic and nonacademic intensive care units.
Citation Text:
Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/m…
-
psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
June 29, 2011 - Study
Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.
Citation Text:
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf…
-
psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
June 02, 2021 - Study
Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment?
Citation Text:
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…
-
psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
February 06, 2019 - Study
Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study.
Citation Text:
Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…
-
psnet.ahrq.gov/issue/association-surgical-task-during-training-team-skill-acquisition-among-surgical-residents
March 12, 2025 - Study
Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training.
Citation Text:
Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition…
-
psnet.ahrq.gov/node/867635/psn-pdf
February 26, 2025 - Diagnostic safety: needs assessment and informed
curriculum at an academic children's hospital.
February 26, 2025
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at
an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
-
psnet.ahrq.gov/node/46127/psn-pdf
May 31, 2017 - Liquid medication dosing errors by Hispanic parents: role
of health literacy and English proficiency.
May 31, 2017
Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of
Health Literacy and English Proficiency. Acad Pediatr. 2017;17(4):403-410.
doi:10.1016/j.acap.20…
-
psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
-
psnet.ahrq.gov/node/867132/psn-pdf
November 13, 2024 - Large language model influence on diagnostic reasoning:
a randomized clinical trial.
November 13, 2024
Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized
clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/864380/psn-pdf
March 13, 2024 - Stepped-wedge cluster RCT to assess the effects of an
electronic medication system on medication
administration errors.
March 13, 2024
Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic
medication system on medication administration errors. Stud Health Technol Inf…
-
psnet.ahrq.gov/node/842420/psn-pdf
January 11, 2023 - Using the Assessment of Reasoning Tool to facilitate
feedback about diagnostic reasoning.
January 11, 2023
Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about
diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-2022-0020.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/837505/psn-pdf
June 22, 2022 - Parent participation in morbidity and mortality review:
parent and physician perspectives.
June 22, 2022
de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review:
parent and physician perspectives. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102674.…
-
psnet.ahrq.gov/node/38057/psn-pdf
September 10, 2008 - Randomized controlled trial of a pictogram-based
intervention to reduce liquid medication dosing errors
and improve adherence among caregivers of young
children.
September 10, 2008
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention to
reduce liquid medication do…
-
psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…