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  1. Information technology interventions to improve medication safety in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-technology-interventions-improve-medication-safety-primary-care-systematic-review
    July 29, 2020 - Review Information technology interventions to improve medication safety in primary care: a systematic review. Citation Text: Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 20…

  2. Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units. | PSNet

    psnet.ahrq.gov/issue/changes-end-user-satisfaction-computerized-provider-order-entry-over-time-among-nurses-and
    March 15, 2017 - Study Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units. Citation Text: Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurs…

  3. High rates of adverse drug events in a highly computerized hospital. | PSNet

    psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospital
    August 04, 2021 - Study Classic High rates of adverse drug events in a highly computerized hospital. Citation Text: Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. Copy Citation …

  4. Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
    November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

  5. How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

    psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
    December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

  6. What do medical records tell us about potentially harmful co-prescribing? | PSNet

    psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
    December 19, 2011 - Study Classic What do medical records tell us about potentially harmful co-prescribing? Citation Text: Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…

  7. Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet

    psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
    January 15, 2014 - Study Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…

  8. Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet

    psnet.ahrq.gov/issue/assessment-unintentional-duplicate-orders-emergency-department-clinicians-and-after
    October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

  9. How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

    psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
    February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

  10. Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
    October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

  11. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. | PSNet

    psnet.ahrq.gov/issue/changing-dynamics-drug-overdose-epidemic-united-states-1979-through-2016
    November 21, 2021 - Study Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Citation Text: Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.…

  12. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

    psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
    September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

  13. Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. | PSNet

    psnet.ahrq.gov/issue/just-what-doctor-ordered-review-evidence-impact-computerized-physician-order-entry-system
    June 15, 2016 - Review Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. Citation Text: Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician o…

  14. Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

    psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
    May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

  15. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. | PSNet

    psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
    June 28, 2011 - Study Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. Citation Text: Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupi…

  16. | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/publications/search.html?page=2
    September 01, 2023 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 21 - 30 of 191 Publications displayed Find Publications by Keyword or Topi…

  17. An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
    June 08, 2010 - Study An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. Citation Text: Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…

  18. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
    December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…

  19. Residents' response to duty-hour regulations—a follow-up national survey. | PSNet

    psnet.ahrq.gov/issue/residents-response-duty-hour-regulations-follow-national-survey
    December 02, 2014 - Study Classic Residents' response to duty-hour regulations—a follow-up national survey. Citation Text: Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…

  20. An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action. | PSNet

    psnet.ahrq.gov/issue/official-critical-care-societies-collaborative-statement-burnout-syndrome-critical-care
    October 19, 2022 - Commentary An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action. Citation Text: Moss M, Good VS, Gozal D, et al. An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical…
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