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  1. How health systems decide to use artificial intelligence for clinical decision support. | PSNet

    psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
    March 30, 2022 - Study How health systems decide to use artificial intelligence for clinical decision support. Citation Text: Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…

  2. A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. | PSNet

    psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety
    October 14, 2020 - Study A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. Citation Text: Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…

  3. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. | PSNet

    psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
    February 18, 2011 - Study Classic The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. Citation Text: Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…

  4. Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. | PSNet

    psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
    September 01, 2018 - Study Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Citation Text: Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…

  5. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. | PSNet

    psnet.ahrq.gov/issue/experiences-nurses-speaking-healthcare-settings-qualitative-metasynthesis
    September 23, 2020 - Review Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. Citation Text: Lee E, De Gagne J C, Randall P S, et al. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. J Adv Nurs. 2024;Epub Nov 4. doi:10.1111/jan.16592.…

  6. Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
    March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

  7. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
    August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…

  8. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. | PSNet

    psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
    April 27, 2022 - Study Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Citation Text: Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1)…

  9. GPT versus resident physicians — a benchmark based on official board scores. | PSNet

    psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benchmark-based-official-board-scores
    November 03, 2021 - Study GPT versus resident physicians — a benchmark based on official board scores. Citation Text: Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192. Copy Citation Format: …

  10. Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. | PSNet

    psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
    September 07, 2022 - Commentary Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. Citation Text: Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Di…

  11. Large language model influence on diagnostic reasoning: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/large-language-model-influence-diagnostic-reasoning-randomized-clinical-trial
    November 03, 2021 - Study Large language model influence on diagnostic reasoning: a randomized clinical trial. Citation Text: 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.20…

  12. Scaling and Dissemination of an Effective Clinical Decision Support Tool for Pneumonia | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/scaling-and-dissemination-effective-clinical-decision-support
    January 01, 2023 - Scaling and Dissemination of an Effective Clinical Decision Support Tool for Pneumonia Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Scaling Effective Digital Healthcare Tools Across Health Systems Development of an interoperable version of an effective pneumonia…

  13. Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

    psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
    May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

  14. Using Lean to improve medication administration safety: in search of the "perfect dose." | PSNet

    psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
    September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

  15. "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. | PSNet

    psnet.ahrq.gov/issue/time-essence-relationship-between-hospital-staff-perceptions-time-safety-attitudes-and-staff
    September 01, 2021 - Study "Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing. Citation Text: Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff …

  16. Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. | PSNet

    psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
    May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…

  17. Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
    May 18, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. Citation Text: Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…

  18. Medication errors among adults and children with cancer in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
    January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

  19. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet

    psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
    July 29, 2020 - Study Obstetrician-gynecologist views of pregnancy-related medication safety. Citation Text: SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. …

  20. Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. | PSNet

    psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
    July 02, 2019 - Study Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. Citation Text: Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…
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