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  1. International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet

    psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
    February 14, 2018 - Study International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. Citation Text: Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…

  2. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

    psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
    December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

  3. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
    March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…

  4. Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
    August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

  5. Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
    February 14, 2024 - Study Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. Citation Text: Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…

  6. Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. | PSNet

    psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
    May 25, 2022 - Study Classic Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events. Citation Text: Kang H, Wang J, Yao B, et al. Toward safer health care: a review strate…

  7. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet

    psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
    October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports. Citation Text: Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687…

  8. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet

    psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
    May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Citation Text: Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…

  9. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. | PSNet

    psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black
    July 26, 2023 - Study Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. Citation Text: Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black p…

  10. Providers' perceptions of communication breakdowns in cancer care. | PSNet

    psnet.ahrq.gov/issue/providers-perceptions-communication-breakdowns-cancer-care
    March 11, 2013 - Study Providers' perceptions of communication breakdowns in cancer care. Citation Text: Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1. Copy Citation Forma…

  11. Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
    October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

  12. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - Study Medication discrepancies upon hospital to skilled nursing facility transitions. Citation Text: Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2…

  13. Accuracy of computer-generated, Spanish-language medicine labels. | PSNet

    psnet.ahrq.gov/issue/accuracy-computer-generated-spanish-language-medicine-labels
    March 01, 2023 - Study Accuracy of computer-generated, Spanish-language medicine labels. Citation Text: Sharif I, Tse J. Accuracy of computer-generated, spanish-language medicine labels. Pediatrics. 2010;125(5):960-5. doi:10.1542/peds.2009-2530. Copy Citation Format: DOI Google Scholar Pu…

  14. Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

    psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
    June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

  15. Design and impact of a novel surgery-specific second victim peer support program. | PSNet

    psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
    March 09, 2022 - Study Emerging Classic Design and impact of a novel surgery-specific second victim peer support program. Citation Text: El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…

  16. Electronic health record–related events in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
    April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

  17. Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/evaluation-natural-language-processing-approach-identify-diagnostic-errors-and-analysis
    October 30, 2024 - Study Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. Citation Text: Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…

  18. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. | PSNet

    psnet.ahrq.gov/issue/electronic-diagnostic-support-emergency-physician-triage-qualitative-study-thematic-analysis
    October 27, 2021 - Study Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. Citation Text: Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of intervi…

  19. Increased patient safety-related incidents following the transition into Daylight Savings Time. | PSNet

    psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
    May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight Savings Time. Citation Text: Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…

  20. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence | PSNet

    psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
    March 17, 2021 - Review Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence Citation Text: Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of t…
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