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  1. AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/input-strategic-framework-pcortf.html
    March 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments MAR 3 2022 By Karin Rhodes, M.D., M.S., and David Meyers, M.D. Karin Rhodes, M.D., M.S. AHRQ’s updated request for inform…

  2. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
    September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Citation Text: Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…

  3. Pain states, the opioid epidemic, and the role of radiologists. | PSNet

    psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-role-radiologists
    September 01, 2013 - Review Pain states, the opioid epidemic, and the role of radiologists. Citation Text: Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x. Copy Citation Format:…

  4. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
    October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

  5. Preventable deaths: who, how often, and why? | PSNet

    psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
    February 22, 2011 - Study Classic Preventable deaths: who, how often, and why? Citation Text: Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  6. Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist? | PSNet

    psnet.ahrq.gov/issue/two-year-longitudinal-assessment-physicians-perceptions-after-replacement-longstanding
    December 31, 2014 - Study Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist? Citation Text: Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physician…

  7. Medication errors in paediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
    December 15, 2011 - Study Medication errors in paediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  8. Improving resident morning sign-out by use of daily events reports. | PSNet

    psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
    March 04, 2020 - Study Improving resident morning sign-out by use of daily events reports. Citation Text: Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. Copy Citation Format: …

  9. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. | PSNet

    psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
    December 14, 2016 - Study Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. Citation Text: Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…

  10. 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…

  11. The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet

    psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
    January 18, 2023 - Study The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. Citation Text: Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …

  12. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
    January 07, 2015 - Review The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Citation Text: Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…

  13. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet

    psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
    June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

  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 in patients with return emergency department visits. | PSNet

    psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits
    May 31, 2017 - Study Adverse events in patients with return emergency department visits. Citation Text: Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. Copy Citation Format: …

  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. Raising awareness of cognitive biases during diagnostic reasoning. | PSNet

    psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
    February 03, 2021 - Study Raising awareness of cognitive biases during diagnostic reasoning. Citation Text: van Geene K, de Groot E, Erkelens C, et al. Raising awareness of cognitive biases during diagnostic reasoning. Perspect Med Educ. 2016;5(3):182-5. doi:10.1007/s40037-016-0274-4. Copy Citation Fo…

  18. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. | PSNet

    psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
    May 19, 2021 - Review Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Citation Text: Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…

  19. 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…

  20. Human error, not communication and systems, underlies surgical complications. | PSNet

    psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
    November 18, 2020 - Study Human error, not communication and systems, underlies surgical complications. Citation Text: Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. C…
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