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  1. The 2011 duty-hour requirements—a survey of residency program directors. | PSNet

    psnet.ahrq.gov/issue/2011-duty-hour-requirements-survey-residency-program-directors
    December 02, 2014 - Study The 2011 duty-hour requirements—a survey of residency program directors. Citation Text: Drolet BC, Khokhar MT, Fischer SA. The 2011 duty-hour requirements--a survey of residency program directors. N Engl J Med. 2013;368(8):694-7. doi:10.1056/NEJMp1214483. Copy Citation Form…

  2. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and
    August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Citation Text: Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 201…

  3. Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet

    psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
    May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…

  4. Non-emergency patient transport: what are the quality and safety issues? A systematic review. | PSNet

    psnet.ahrq.gov/issue/non-emergency-patient-transport-what-are-quality-and-safety-issues-systematic-review
    June 27, 2012 - Review Non-emergency patient transport: what are the quality and safety issues? A systematic review. Citation Text: Hains IM, Marks A, Georgiou A, et al. Non-emergency patient transport: what are the quality and safety issues? A systematic review. Int J Qual Health Care. 2011;23(1):68-75…

  5. Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. | PSNet

    psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter
    November 20, 2019 - Study Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. Citation Text: Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…

  6. Abdominal pain in the emergency department: missed diagnoses. | PSNet

    psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
    September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

  7. Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
    June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

  8. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? | PSNet

    psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity
    February 28, 2011 - Study Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Citation Text: Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…

  9. Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. | PSNet

    psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical
    February 27, 2014 - Study Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Citation Text: Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…

  10. Impact of a restraint management bundle on restraint use in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
    October 18, 2023 - Commentary Impact of a restraint management bundle on restraint use in an intensive care unit. Citation Text: Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…

  11. A case of mistaken identity: staff input on patient ID errors. | PSNet

    psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
    March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …

  12. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
    June 02, 2021 - Study Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. Citation Text: Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…

  13. How often do physicians review medication charts on ward rounds? | PSNet

    psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

  14. Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
    October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …

  15. The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. | PSNet

    psnet.ahrq.gov/issue/limits-knowledge-management-uk-public-services-modernization-case-patient-safety-and-service
    January 29, 2014 - Study The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. Citation Text: Currie G, Waring J, Finn R. THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES MODERNIZATION: THE CASE OF PATIENT SAFETY AND SERVICE QUAL…

  16. A system safety approach to assessing risks in the sepsis treatment process. | PSNet

    psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
    February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…

  17. Medicine for the wandering mind: mind wandering in medical practice. | PSNet

    psnet.ahrq.gov/issue/medicine-wandering-mind-mind-wandering-medical-practice
    August 28, 2017 - Review Medicine for the wandering mind: mind wandering in medical practice. Citation Text: Smallwood J, Mrazek MD, Schooler JW. Medicine for the wandering mind: mind wandering in medical practice. Med Educ. 2011;45(11):1072-80. doi:10.1111/j.1365-2923.2011.04074.x. Copy Citation …

  18. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. | PSNet

    psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm
    July 02, 2014 - Study Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…

  19. Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. | PSNet

    psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
    October 25, 2023 - Study Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. Citation Text: Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…

  20. Making hospital care safer and better: the structure-process connection leading to adverse events. | PSNet

    psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
    November 04, 2020 - Study Making hospital care safer and better: the structure-process connection leading to adverse events. Citation Text: El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. Copy Citation …
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