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  1. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. | PSNet

    psnet.ahrq.gov/issue/thirty-day-all-cause-readmissions-elderly-patients-who-have-injury-related-inpatient-stay
    August 03, 2017 - Study Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Citation Text: Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Med Care. 2012;50(10):863-9. …

  2. Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

    psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
    December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

  3. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

    psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
    August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

  4. Clinical alerts to decrease high-risk medication use in older adults. | PSNet

    psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
    September 02, 2015 - Commentary Clinical alerts to decrease high-risk medication use in older adults. Citation Text: Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. Copy Citation Format: …

  5. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
    April 29, 2020 - Review Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Citation Text: Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…

  6. Effect of a comprehensive surgical safety system on patient outcomes. | PSNet

    psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
    May 17, 2012 - Study Classic Effect of a comprehensive surgical safety system on patient outcomes. Citation Text: de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…

  7. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. | PSNet

    psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
    November 17, 2016 - Study "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Citation Text: Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…

  8. More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? | PSNet

    psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england
    December 18, 2017 - Study More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Citation Text: Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…

  9. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. | PSNet

    psnet.ahrq.gov/issue/relationship-between-leapfrog-safe-practices-survey-and-outcomes-trauma
    August 02, 2015 - Study Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Citation Text: Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247. Copy Citation …

  10. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. | PSNet

    psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
    October 31, 2012 - Study Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Citation Text: Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med. 2013;88(6):802-10. doi:10.1097/ACM.0b013e31828fd4f…

  11. Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study. | PSNet

    psnet.ahrq.gov/issue/drug-errors-and-related-interventions-reported-united-states-clinical-pharmacists-american
    May 29, 2014 - Study Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study. Citation Text: Kuo GM, Touchette DR, Marinac JS. Drug erro…

  12. Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and
    November 16, 2022 - Study Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. Citation Text: Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferen…

  13. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet

    psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback
    October 26, 2010 - Study Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Citation Text: Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …

  14. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. | PSNet

    psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
    November 20, 2013 - Study Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. Citation Text: Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…

  15. Adverse events associated with home blood transfusion: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-home-blood-transfusion-retrospective-cohort-study
    October 20, 2021 - Study Adverse events associated with home blood transfusion: a retrospective cohort study. Citation Text: Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.…

  16. Cognitive biases encountered by physicians in the emergency room. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
    June 19, 2024 - Study Cognitive biases encountered by physicians in the emergency room. Citation Text: Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. Copy Citation Format: DOI …

  17. Frequency and clinical importance of pages sent to the wrong physician. | PSNet

    psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
    October 31, 2011 - Study Frequency and clinical importance of pages sent to the wrong physician. Citation Text: Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117. Copy Citation…

  18. Adverse drug events in pediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
    February 06, 2008 - Study Adverse drug events in pediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  19. Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals. | PSNet

    psnet.ahrq.gov/issue/predictors-adverse-events-and-medical-errors-among-adult-inpatients-psychiatric-units-acute
    November 06, 2019 - Study Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals. Citation Text: Vermeulen JM, Doedens P, Cullen SW, et al. Predictors of Adverse Events and Medical Errors Among Adult Inpatients of Psychiatric Units of Acut…

  20. An organization-specific and modifiable inpatient safety composite measure. | PSNet

    psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
    June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…
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