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  1. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet

    psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
    March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

  2. The trigger tool as a method to measure harmful medication errors in children. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
    August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

  3. Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
    November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

  4. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. | PSNet

    psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
    September 19, 2018 - Study Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. Citation Text: Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. d…

  5. Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet

    psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
    May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and the coordinated response. Citation Text: Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…

  6. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
    January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

  7. Medication-administration errors in an urban mental health hospital: a direct observation study. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study
    September 03, 2014 - Study Medication-administration errors in an urban mental health hospital: a direct observation study. Citation Text: Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111…

  8. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
    February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. Citation Text: Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…

  9. Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

    psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
    November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

  10. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
    March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …

  11. Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. | PSNet

    psnet.ahrq.gov/issue/threats-patient-safety-primary-care-reported-older-people-multimorbidity-baseline-findings
    November 14, 2018 - Study Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. Citation Text: Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care report…

  12. Managing diagnostic uncertainty in primary care: a systematic critical review. | PSNet

    psnet.ahrq.gov/issue/managing-diagnostic-uncertainty-primary-care-systematic-critical-review
    February 15, 2017 - Review Managing diagnostic uncertainty in primary care: a systematic critical review. Citation Text: Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0. …

  13. Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

    psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
    August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

  14. Human centered design workshops as a meta-solution to diagnostic disparities. | PSNet

    psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities
    July 31, 2024 - Study Human centered design workshops as a meta-solution to diagnostic disparities. Citation Text: Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. Copy …

  15. Nurse burnout syndrome and work environment impact patient safety grade. | PSNet

    psnet.ahrq.gov/issue/nurse-burnout-syndrome-and-work-environment-impact-patient-safety-grade
    August 04, 2021 - Study Nurse burnout syndrome and work environment impact patient safety grade. Citation Text: Montgomery AP, Patrician PA, Azuero A. Nurse burnout syndrome and work environment impact patient safety grade. J Nurs Care Qual. 2022;37(1):87-93. doi:10.1097/ncq.0000000000000574. Copy Citat…

  16. Social disparities in patient safety in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review
    January 08, 2025 - Review Emerging Classic Social disparities in patient safety in primary care: a systematic review. Citation Text: Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…

  17. RISE: exploring volunteer retention and sustainability of a second victim support program. | PSNet

    psnet.ahrq.gov/issue/rise-exploring-volunteer-retention-and-sustainability-second-victim-support-program
    April 21, 2021 - Study RISE: exploring volunteer retention and sustainability of a second victim support program. Citation Text: Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…

  18. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
    February 14, 2024 - Study A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. Citation Text: Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…

  19. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. | PSNet

    psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
    February 01, 2023 - Study A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Citation Text: Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…

  20. Voluntary electronic reporting of medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
    March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…
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