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  1. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. | PSNet

    psnet.ahrq.gov/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
    March 09, 2016 - Study Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. Citation Text: Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early rec…

  2. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet

    psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
    February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

  3. Systems errors versus physicians' errors: finding the balance in medical education. | PSNet

    psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
    October 12, 2012 - Commentary Systems errors versus physicians' errors: finding the balance in medical education. Citation Text: Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22. Copy Citation Format: Google …

  4. What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
    March 02, 2022 - Study What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. Citation Text: Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…

  5. Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
    January 04, 2017 - Study Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. Citation Text: Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…

  6. Quality and safety practices among academic obstetrics and gynecology departments. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
    October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

  7. Data & Analytics | Agency for Healthcare Research and Quality

    www.ahrq.gov/data/index.html
    January 01, 2001 - Data & Analytics Data Tools AHRQ's Data Tools allow you to explore AHRQ data sources flexibly and in depth. MEPS Medical Expenditure Panel Survey (MEPS…

  8. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. | PSNet

    psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
    February 28, 2024 - Study Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. Citation Text: Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …

  9. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
    November 17, 2010 - Study Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Citation Text: Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …

  10. Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-health-record-default-settings-reduce-opioid-overprescribing-pilot
    April 24, 2018 - Study Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. Citation Text: Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…

  11. Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

    psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
    April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

  12. Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet

    psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
    April 14, 2021 - Commentary Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. Citation Text: Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…

  13. No‐Cost Extensions (NCEs) | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/grant-mgmt/nces.html
    November 01, 2020 - No‐Cost Extensions (NCEs) How do I request a no‐cost extension for my grant? If your grant is under expanded authorities (in general, the following AHRQ grant activity codes are included under expanded authorities: F31, F32, K01, K02, K08, K18, K99, P20, R00, R01, R03, R13, R18, R21, R33, R24, R25, R36), the…

  14. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
    February 24, 2021 - Study Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. Citation Text: Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…

  15. Improving clinician well-being and patient safety through human-centered design. | PSNet

    psnet.ahrq.gov/issue/improving-clinician-well-being-and-patient-safety-through-human-centered-design
    April 29, 2018 - Commentary Improving clinician well-being and patient safety through human-centered design. Citation Text: Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2…

  16. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. | PSNet

    psnet.ahrq.gov/issue/impact-team-and-leaders-directed-strategy-improve-nurses-adherence-hand-hygiene-guidelines
    November 19, 2009 - Study Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. Citation Text: Huis A, Schoonhoven L, Grol R, et al. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guid…

  17. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
    February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

  18. Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. | PSNet

    psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
    October 12, 2011 - Study Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. Citation Text: Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experi…

  19. Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. | PSNet

    psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
    January 15, 2025 - Study Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. Citation Text: Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …

  20. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet

    psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
    February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …
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