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Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors

June 24, 2009 - Study Classic Diagnostic error in medicine: analysis of 583 physician-reported errors. Citation Text: Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/a…

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center

February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet

psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format

July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…

Utilising improvement science methods to optimise medication reconciliation. | PSNet

psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation

July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

We want to know: patient comfort speaking up about breakdowns in care and patient experience. | PSNet

psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience

May 20, 2020 - Study Emerging Classic We want to know: patient comfort speaking up about breakdowns in care and patient experience. Citation Text: Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experie…

Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. | PSNet

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October 26, 2022 - Study Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. Citation Text: Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and a…

Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet

psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles

July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet

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April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. | PSNet

psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through

October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Citation Text: Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…

Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. | PSNet

psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-requested-corrections-medical-record-through-use

October 02, 2024 - Study Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. Citation Text: Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested correc…

Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic

March 09, 2022 - Review Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. Citation Text: Nguyen OT, Kunta AR, Katoju SV, et al. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. JAMA Netw Ope…

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta

February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. | PSNet

psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future

December 14, 2022 - Study Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. Citation Text: Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTE…

Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. | PSNet

psnet.ahrq.gov/issue/implicit-racial-bias-health-care-provider-attitudes-and-perceptions-health-care-quality-among

March 31, 2021 - Study Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. Citation Text: Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptio…

Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. | PSNet

psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide

April 14, 2021 - Study Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. Citation Text: Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…

When safety event reporting is seen as punitive: "I've been PSN-ed!" | PSNet

psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed

September 02, 2020 - Study When safety event reporting is seen as punitive: "I've been PSN-ed!" Citation Text: Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048. Copy Citati…

Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system. | PSNet

psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health

February 22, 2011 - Study Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system. Citation Text: Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis

December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. | PSNet

psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care

June 14, 2023 - Study Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. Citation Text: Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…

Classifying and predicting errors of inpatient medication reconciliation. | PSNet

psnet.ahrq.gov/issue/classifying-and-predicting-errors-inpatient-medication-reconciliation

February 15, 2011 - Study Classifying and predicting errors of inpatient medication reconciliation. Citation Text: Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. Copy C…

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