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  1. psnet.ahrq.gov/issue/broadening-concept-patient-safety-culture-through-value-based-healthcare
    September 29, 2021 - Commentary Broadening the concept of patient safety culture through value-based healthcare. Citation Text: Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2…
  2. psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
    October 12, 2022 - Book/Report Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Citation Text: Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Washington, DC: Veterans Affairs Office of Inspector General; 2…
  3. psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
    January 16, 2019 - Commentary Emerging Classic A decade of health information technology usability challenges and the path forward. Citation Text: Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…
  4. psnet.ahrq.gov/issue/current-challenges-health-information-technology-related-patient-safety
    July 16, 2015 - Commentary Current challenges in health information technology–related patient safety. Citation Text: Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. Cop…
  5. psnet.ahrq.gov/issue/preventing-parallel-pandemic-national-strategy-protect-clinicians-well-being
    January 23, 2019 - Commentary Classic Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. Citation Text: Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. N Engl J Med. 2020;383(6…
  6. psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
    May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…
  7. psnet.ahrq.gov/issue/mitigating-july-effect
    August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…
  8. psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
    June 25, 2014 - Commentary How organisations contribute to improving the quality of healthcare. Citation Text: Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773. Copy Citation Format: DOI Google Scholar Pub…
  9. psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
    December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…
  10. psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
    December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…
  11. digital.ahrq.gov/program-overview/research-stories/app-assists-patients-decide-if-home-hospital-level-care-right
    January 01, 2023 - App Assists Patients Decide if In-Home Hospital-Level Care is Right for Them Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Digital Tools to Support Shared Decision-Making and Personalized Care A web-based application that incorporates patient and caregiver preferences hel…
  12. psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
    January 06, 2018 - Study Physician satisfaction with transition from CPOE to paper-based prescription. Citation Text: Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…
  13. psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture
    February 14, 2015 - Study Advancing measurement of patient safety culture. Citation Text: Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. Copy Citation Format: DOI Google Schol…
  14. psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
    October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. Citation Text: Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x. Cop…
  15. psnet.ahrq.gov/issue/prevalence-and-patterns-potentially-avoidable-hospitalizations-us-long-term-care-setting
    August 04, 2021 - Study Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Citation Text: Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …
  16. psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
    July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…
  17. psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review
    February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …
  18. cahpsdatabase.ahrq.gov/CHDSS/login.aspx
    April 11, 2025 - Register Login Help The CAHPS Child Hospital Survey Data Submission System Login Existing User? * = Required Field    * Username:    * Password:        Forgot your pa…
  19. psnet.ahrq.gov/submit-case-landing
    March 25, 2025 - Breadcrumb Home Training and Education WebM&M: Case Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …
  20. psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
    March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…