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AHRQ: Agency for Healthcare Research and Quality

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Showing results for "addressing".

  1. Teaching students to administer medications safely. | PSNet

    psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
    December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…

  2. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
    December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. Citation Text: Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…

  3. Engaging patients to improve quality of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
    May 26, 2021 - Review Classic Engaging patients to improve quality of care: a systematic review. Citation Text: Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…

  4. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
    July 19, 2019 - Study Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. Citation Text: Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs …

  5. Trends and patterns in reporting of patient safety situations in transplantation. | PSNet

    psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
    October 19, 2022 - Study Trends and patterns in reporting of patient safety situations in transplantation. Citation Text: Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. …

  6. Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. | PSNet

    psnet.ahrq.gov/issue/reducing-avoidable-readmissions-effectively-rare-campaign
    January 31, 2018 - Award Recipient Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. Citation Text: McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204,…

  7. Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

    psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
    April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

  8. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. | PSNet

    psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
    October 12, 2011 - Study Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Citation Text: Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11. …

  9. Building collaborative teams in neonatal intensive care. | PSNet

    psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
    August 14, 2019 - Study Building collaborative teams in neonatal intensive care. Citation Text: Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. Copy Citation Format: DOI Google Scho…

  10. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet

    psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
    June 24, 2010 - Review A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Citation Text: Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …

  11. Patient safety informatics: meeting the challenges of emerging digital health. | PSNet

    psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
    June 08, 2022 - Commentary Patient safety informatics: meeting the challenges of emerging digital health. Citation Text: McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…

  12. Improving responses to safety incidents: we need to talk about justice. | PSNet

    psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
    February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice. Citation Text: Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. Copy Citation For…

  13. Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. | PSNet

    psnet.ahrq.gov/issue/adverse-events-robotic-surgery-retrospective-study-14-years-fda-data
    June 24, 2020 - Study Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. Citation Text: Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470…

  14. The influence of resident involvement on surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
    October 11, 2017 - Study The influence of resident involvement on surgical outcomes. Citation Text: Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029. Copy Citation Format: …

  15. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. | PSNet

    psnet.ahrq.gov/issue/identifying-psychiatric-diagnostic-errors-safer-dx-instrument
    October 12, 2022 - Study Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Citation Text: Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066. Copy Citat…

  16. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. | PSNet

    psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
    August 24, 2016 - Commentary Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. Citation Text: Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.11…

  17. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
    March 12, 2025 - Study Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…

  18. Effect of communication errors during calls to an antimicrobial stewardship program. | PSNet

    psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
    June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …

  19. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
    September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Citation Text: Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…

  20. Evaluation of a nurse-led safety program in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
    June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…
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