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  1. Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-mortality-after-acute-myocardial-infarction-study-medicare-beneficiaries
    September 13, 2023 - Study Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. Citation Text: Shahian DM, Liu X, Rossi LP, et al. Safety Culture and Mortality after Acute Myocardial Infarction: A Study of Medicare Beneficiaries at 171 Hospitals.…

  2. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. | PSNet

    psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module
    June 03, 2013 - Study Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Citation Text: Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…

  3. Americans' growing exposure to clinician quality information: insights and implications. | PSNet

    psnet.ahrq.gov/issue/americans-growing-exposure-clinician-quality-information-insights-and-implications
    August 19, 2015 - Study Americans' growing exposure to clinician quality information: insights and implications. Citation Text: Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382. …

  4. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
    October 19, 2022 - Study Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Citation Text: Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…

  5. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. | PSNet

    psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication-prescriptions-among
    August 04, 2021 - Study Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Citation Text: Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among…

  6. What do patients and relatives know about problems and failures in care? | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care
    November 28, 2016 - Study What do patients and relatives know about problems and failures in care? Citation Text: Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. Copy Citation …

  7. 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:…

  8. Do house officers learn from their mistakes? | PSNet

    psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
    April 19, 2011 - Study Classic Do house officers learn from their mistakes? Citation Text: Wu AW, Folkman S, McPhee SJ, et al. Do house officers learn from their mistakes? JAMA. 1991;265(16):2089-94. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  9. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. | PSNet

    psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-teaching-hospitals
    February 07, 2024 - Study Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. Citation Text: Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teachi…

  10. Virtual urgent care quality and safety in the time of Coronavirus. | PSNet

    psnet.ahrq.gov/issue/virtual-urgent-care-quality-and-safety-time-coronavirus
    April 24, 2018 - Study Virtual urgent care quality and safety in the time of Coronavirus. Citation Text: Smith SW, Tiu J, Caspers CG, et al. Virtual Urgent Care Quality and Safety in the Time of Coronavirus. Jt Comm J Qual Patient Saf. 2021;47(2):86-98. doi:10.1016/j.jcjq.2020.10.001. Copy Citation …

  11. 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 …

  12. What happens when healthcare innovations collide? | PSNet

    psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
    December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

  13. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. | PSNet

    psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
    November 17, 2016 - Study "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Citation Text: Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…

  14. Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive. | PSNet

    psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
    August 04, 2021 - Study Classic Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive. Citation Text: BEECHER HK, TODD DP. A study of the deaths associated with anesthesia and surgery: based…

  15. Disparities in patient safety voluntary event reporting: a scoping review. | PSNet

    psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
    November 16, 2022 - Review Disparities in patient safety voluntary event reporting: a scoping review. Citation Text: Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. Co…

  16. 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…

  17. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
    December 18, 2014 - Study Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. Citation Text: Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…

  18. Test result communication in primary care: clinical and office staff perspectives. | PSNet

    psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
    November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …

  19. Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. | PSNet

    psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015
    July 19, 2023 - Study Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. Citation Text: Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…

  20. Patient harm events and associated cost outcomes reported to a patient safety organization. | PSNet

    psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
    July 18, 2017 - Study Patient harm events and associated cost outcomes reported to a patient safety organization. Citation Text: Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…
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