AHRQ Search | Home Page

Adverse events involving telehealth in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration

October 26, 2022 - Review Adverse events involving telehealth in the Veterans Health Administration. Citation Text: Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. Copy …

Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process

May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. | PSNet

psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience

February 09, 2022 - Study The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. Citation Text: Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…

Identifying risk factors for medical injury. | PSNet

psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury

April 12, 2011 - Study Identifying risk factors for medical injury. Citation Text: Guse CE, Yang H, Layde PM. Identifying risk factors for medical injury. Int J Qual Health Care. 2006;18(3):203-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients

March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

Ambulatory prescribing errors among community-based providers in two states. | PSNet

psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states

July 10, 2008 - Study Ambulatory prescribing errors among community-based providers in two states. Citation Text: Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…

Radiologic safety events within a pediatric emergency medicine network. | PSNet

psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network

August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

Persistent opioid use among pediatric patients after surgery. | PSNet

psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery

January 29, 2020 - Study Classic Persistent opioid use among pediatric patients after surgery. Citation Text: Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. Copy Cita…

EHR-related medication errors in two ICUs. | PSNet

psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus

March 15, 2017 - Study EHR-related medication errors in two ICUs. Citation Text: Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review

January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. | PSNet

psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national

December 29, 2014 - Study Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. Citation Text: van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in …

Factors influencing incident reporting in surgical care. | PSNet

psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care

March 03, 2011 - Study Factors influencing incident reporting in surgical care. Citation Text: Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534. Copy Citation Format: …

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician

October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet

psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information

May 31, 2017 - Study Emerging Classic Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. Citation Text: Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …

Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet

psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments

October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. | PSNet

psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii

February 18, 2011 - Study Classic The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. Citation Text: Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…

Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations

September 02, 2020 - Study Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Citation Text: Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…

A review of patient safety measures based on routinely collected hospital data. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data

February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

High-risk medication errors: insight from the UK National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system

January 12, 2022 - Study High-risk medication errors: insight from the UK National Reporting and Learning System. Citation Text: Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…

Root cause analysis of adverse events in an outpatient anticoagulation management consortium. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium

March 28, 2012 - Study Root cause analysis of adverse events in an outpatient anticoagulation management consortium. Citation Text: Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;4…

Search AHRQ

Results