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Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two

February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…

Care transition of trauma patients: processes with articulation work before and after handoff. | PSNet

psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff

June 22, 2022 - Study Care transition of trauma patients: processes with articulation work before and after handoff. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…

Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. | PSNet

psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges

May 29, 2019 - Commentary Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. Citation Text: Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…

A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet

psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care

December 02, 2020 - Review A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Citation Text: Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. | PSNet

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November 18, 2020 - Review A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Citation Text: St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…

The influence of electronic health record design on usability and medication safety: systematic review. | PSNet

psnet.ahrq.gov/issue/influence-electronic-health-record-design-usability-and-medication-safety-systematic-review

July 19, 2023 - Review The influence of electronic health record design on usability and medication safety: systematic review. Citation Text: Cahill M, Cleary BJ, Cullinan S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res. 2025…

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review

March 01, 2023 - Review Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. Citation Text: Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. …

How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. | PSNet

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January 29, 2014 - Commentary How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. Citation Text: Crompton A, Waring J, Macrae C, et al. How can specialist inv…

Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet

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May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Citation Text: Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…

Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

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March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet

psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments

October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. | PSNet

psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-response

December 21, 2022 - Book/Report Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. Citation Text: Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer …

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety

June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. | PSNet

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August 18, 2021 - Study Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. Citation Text: Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medicatio…

To Err Is Human: Building a Safer Health System. | PSNet

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July 08, 2016 - Book/Report Classic To Err Is Human: Building a Safer Health System. Citation Text: To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…

Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet

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January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. Citation Text: Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. Copy Citat…

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet

psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care

May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. Citation Text: Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…

Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. | PSNet

psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary

February 03, 2011 - Study Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. Citation Text: Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:…

A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. | PSNet

psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety

October 14, 2020 - Study A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. Citation Text: Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. | PSNet

psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview

October 13, 2021 - Study Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. Citation Text: Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24…

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