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  1. Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. | PSNet

    psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
    June 11, 2008 - Study Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. Citation Text: Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…

  2. Mental health of staff working in intensive care during COVID-19. | PSNet

    psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
    June 02, 2021 - Study Classic Mental health of staff working in intensive care during COVID-19. Citation Text: Greenberg N, Weston D, Hall C, et al. Mental health of staff working in intensive care during COVID-19. Occup Med (Lond). 2020;71(2):62-67. doi:10.1093/occmed/kqaa220.…

  3. Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

    psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
    August 09, 2017 - Study Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…

  4. Using a potentially aggressive/violent patient huddle to improve health care safety. | PSNet

    psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
    November 16, 2022 - Commentary Using a potentially aggressive/violent patient huddle to improve health care safety. Citation Text: Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…

  5. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet

    psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
    October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. Citation Text: de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…

  6. Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. | PSNet

    psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety
    February 08, 2017 - Study Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers. Citation Text: Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program…

  7. Factors associated with intern fatigue. | PSNet

    psnet.ahrq.gov/issue/factors-associated-intern-fatigue
    October 28, 2009 - Study Factors associated with intern fatigue. Citation Text: Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  8. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
    June 09, 2011 - Study Classic Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Citation Text: Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…

  9. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet

    psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
    November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

  10. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

    psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
    May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

  11. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. | PSNet

    psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
    November 16, 2022 - Study Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. Citation Text: Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of …

  12. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. | PSNet

    psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
    June 08, 2022 - Study A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Citation Text: Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. Australas Emerg C…

  13. Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. | PSNet

    psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
    January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …

  14. Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

    psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department
    July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

  15. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

    psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
    September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

  16. Data Acquisition & Transmission (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn4.pdf
    January 01, 2019 - Data Acquisition & Transmission “Using Clinically Enhanced“Using Clinically-Enhanced Claims Data to Guide Treatment of Acute Heart Failure” An AHRQ Grant to MHA Data Acquisition & Transmission Laboratory Data Databases for Outcomes Assessment Other Clinical DataManual Vital Signs Numerical Laboratory Clin…

  17. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. | PSNet

    psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
    September 26, 2012 - Study Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. Citation Text: Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…

  18. 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):…

  19. Patient feedback for safety improvement in primary care: results from a feasibility study. | PSNet

    psnet.ahrq.gov/issue/patient-feedback-safety-improvement-primary-care-results-feasibility-study
    December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…

  20. Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. | PSNet

    psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
    September 01, 2016 - Study Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. Citation Text: Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction…
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