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Fighting a common enemy: a catalyst to close intractable safety gaps. | PSNet

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June 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…

Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? | PSNet

psnet.ahrq.gov/issue/clinic-design-safety-during-pandemic-safety-or-teamwork-can-we-only-pick-one

November 11, 2015 - Commentary Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? Citation Text: Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/1937586722109…

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

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September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest eve…

Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals

January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Citation Text: Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. Copy Citation Format: Go…

Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

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September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. | PSNet

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May 26, 2021 - Book/Report Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. Citation Text: Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…

Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review

March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. | PSNet

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November 11, 2020 - Study Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. Citation Text: Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):10…

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

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June 14, 2011 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…

Organisational culture: variation across hospitals and connection to patient safety climate. | PSNet

psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate

March 17, 2010 - Study Organisational culture: variation across hospitals and connection to patient safety climate. Citation Text: Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians

July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet

psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety

December 02, 2014 - Study Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Citation Text: Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(…

Emergency physician perceptions of electronic health record usability and safety. | PSNet

psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety

August 24, 2022 - Study Emergency physician perceptions of electronic health record usability and safety. Citation Text: Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…

Medication safety incidents associated with the remote delivery of primary care: a rapid review. | PSNet

psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review

June 29, 2022 - Review Medication safety incidents associated with the remote delivery of primary care: a rapid review. Citation Text: Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…

A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. | PSNet

psnet.ahrq.gov/issue/do-no-harm-novel-safety-checklist-and-research-approach-determine-whether-launch-artificial

September 23, 2020 - Commentary A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework. Citation Text: Khan WU, Seto E. "Do No Harm" novel s…

Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. | PSNet

psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient

February 17, 2021 - Review Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. Citation Text: Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…

What causes delays in diagnosing blood cancers? A rapid review of the evidence. | PSNet

psnet.ahrq.gov/issue/what-causes-delays-diagnosing-blood-cancers-rapid-review-evidence

August 14, 2019 - Review What causes delays in diagnosing blood cancers? A rapid review of the evidence. Citation Text: Black GB, Boswell L, Harris J, et al. What causes delays in diagnosing blood cancers? A rapid review of the evidence. Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129…

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. | PSNet

psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and

July 23, 2018 - Study Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. Citation Text: Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…

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