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Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. | PSNet

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January 23, 2019 - Study Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. Citation Text: Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States,…

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. | PSNet

psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study

May 20, 2020 - Study The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. Citation Text: Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;9…

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. …

Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet

psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. | PSNet

psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy

December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group

March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. | PSNet

psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study

December 14, 2016 - Study Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17…

Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. | PSNet

psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary

April 12, 2019 - Study Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. Citation Text: Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with…

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. | PSNet

psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two

October 16, 2024 - Study A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. Citation Text: Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…

Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. | PSNet

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July 22, 2020 - Review Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. Citation Text: Khawagi WY, Steinke DT, Nguyen J, et al. Identifying potential prescribing safety indicators related to mental health disorders and medicatio…

Diagnostic trajectories in primary care at 12 months: an observational cohort study. | PSNet

psnet.ahrq.gov/issue/diagnostic-trajectories-primary-care-12-months-observational-cohort-study

December 02, 2020 - Study Diagnostic trajectories in primary care at 12 months: an observational cohort study. Citation Text: Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/…

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. | PSNet

psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum

January 03, 2017 - Study Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. Citation Text: Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…

Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. | PSNet

psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database

October 13, 2010 - Study Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. Citation Text: Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations

March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events

October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet

psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during

July 20, 2022 - Study Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Citation Text: Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…

Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization

December 01, 2021 - Study Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. Citation Text: Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety

March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…

Defining and measuring diagnostic uncertainty in medicine: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review

June 21, 2018 - Review Classic Defining and measuring diagnostic uncertainty in medicine: a systematic review. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-11…

Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet

psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit

August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…

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