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  1. Drug administration errors and their determinants in pediatric in-patients. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-and-their-determinants-pediatric-patients
    June 29, 2011 - Study Drug administration errors and their determinants in pediatric in-patients. Citation Text: Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/in…

  2. How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

    psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health
    March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

  3. 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…

  4. Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
    October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

  5. Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. | PSNet

    psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous
    July 27, 2022 - Study Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. Citation Text: Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints…

  6. Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
    February 17, 2017 - Study Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. Citation Text: Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…

  7. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? | PSNet

    psnet.ahrq.gov/issue/dollar-or-disease-burden-caps-healthcare-spending-may-save-money-what-cost-patients
    March 01, 2011 - Study The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Citation Text: Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Value Healt…

  8. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety
    February 23, 2022 - Review Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. Citation Text: Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…

  9. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

    psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety
    February 09, 2011 - Study Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. Citation Text: Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…

  10. The impact of clinically undiagnosed injuries on survival estimates. | PSNet

    psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates
    April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

  11. A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. | PSNet

    psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
    April 20, 2011 - Study A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Citation Text: Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. Copy Citation For…

  12. Interpreting and coding causal relationships for quality and safety using ICD-11. | PSNet

    psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11
    November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…

  13. Effect of a hospital-wide measure on the readmissions reduction program. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program
    February 14, 2017 - Study Effect of a hospital-wide measure on the readmissions reduction program. Citation Text: Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. Copy Ci…

  14. Cost of health care-associated infections in the United States. | PSNet

    psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
    November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

  15. Drug-related problems in medical wards with a computerized physician order entry system. | PSNet

    psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
    December 01, 2010 - Study Drug-related problems in medical wards with a computerized physician order entry system. Citation Text: Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized physician order entry system. J Clin Pharm Ther. 2009;34(2):187-95. doi:10.1111…

  16. Hospital-acquired SARS-CoV-2 infection: lessons for public health. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health
    November 25, 2020 - Commentary Hospital-acquired SARS-CoV-2 infection: lessons for public health. Citation Text: Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399. Copy Citation Format: …

  17. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet

    psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
    May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential care facilities. Citation Text: McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. Copy Citatio…

  18. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. | PSNet

    psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery
    March 20, 2024 - Review Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. Citation Text: Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10…

  19. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. | PSNet

    psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
    November 14, 2018 - Review Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Citation Text: Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…

  20. Accidental deaths, saved lives, and improved quality. | PSNet

    psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
    February 04, 2015 - Commentary Classic Accidental deaths, saved lives, and improved quality. Citation Text: Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. C…
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