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  1. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. | PSNet

    psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory
    August 10, 2022 - Study The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. Citation Text: Upadhyay S, Weech-Maldonado R, Opoku-Agyeman W. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspect…

  2. Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. | PSNet

    psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
    October 02, 2024 - Study Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. Citation Text: Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…

  3. Implementation of a standardized tool for root cause analysis selection. | PSNet

    psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection
    November 06, 2024 - Study Implementation of a standardized tool for root cause analysis selection. Citation Text: Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291. Copy Citatio…

  4. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

    psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
    October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

  5. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet

    psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
    April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

  6. 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…

  7. Design of an evidence-based "second victim" curriculum for nurse anesthetists. | PSNet

    psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anesthetists
    February 15, 2023 - Commentary Design of an evidence-based "second victim" curriculum for nurse anesthetists. Citation Text: Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113. Copy Citation Format: Google Scholar P…

  8. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. | PSNet

    psnet.ahrq.gov/issue/client-caregiver-and-provider-perspectives-safety-palliative-home-care-mixed-method-design
    March 02, 2016 - Study Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Citation Text: Lang A, Toon L, Cohen SR, et al. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Safety Health. 2015;1(1):3. …

  9. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

    psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice
    July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

  10. Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
    December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

  11. Identifying high-risk medication: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
    June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

  12. Unintended medication discrepancies at the time of hospital admission. | PSNet

    psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission
    March 18, 2015 - Study Classic Unintended medication discrepancies at the time of hospital admission. Citation Text: Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. Copy Cit…

  13. Higher accuracy of complex medication reconciliation through improved design of electronic tools. | PSNet

    psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
    April 05, 2017 - Study Higher accuracy of complex medication reconciliation through improved design of electronic tools. Citation Text: Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):46…

  14. Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

    psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

  15. Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals. | PSNet

    psnet.ahrq.gov/issue/strategies-facilitate-delivery-exceptionally-good-patient-care-general-practice-qualitative
    February 24, 2021 - Study Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals. Citation Text: O’Malley R, O’Connor P, Lydon S. Strategies that facilitate the delivery of exceptionally good patient ca…

  16. Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/associations-physician-burnout-career-engagement-and-quality-patient-care-systematic-review
    February 02, 2022 - Review Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. Citation Text: Hodkinson A, Zhou, A, Johnson J, et al. Associations of physician burnout with career engagement and quality of patient care: systematic review…

  17. Wisdom through adversity: learning and growing in the wake of an error. | PSNet

    psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
    October 08, 2016 - Study Wisdom through adversity: learning and growing in the wake of an error. Citation Text: Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. Copy Citation …

  18. Nursing bedside clinical handover—an integrated review of issues and tools. | PSNet

    psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
    July 07, 2021 - Review Nursing bedside clinical handover—an integrated review of issues and tools. Citation Text: Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. Copy Citat…

  19. Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet

    psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning
    September 09, 2020 - Study Association of state-level opioid-reduction policies with pediatric opioid poisoning. Citation Text: Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapedi…

  20. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. | PSNet

    psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
    October 19, 2022 - Study Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. Citation Text: Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…
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