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3441. Non–health care facility medication errors resulting in serious medical outcomes. | PSNet
      psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
      June 14, 2017 - Study Classic Non–health care facility medication errors resulting in serious medical outcomes. Citation Text: Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018…

3442. Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet
      psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
      March 20, 2024 - Study Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. Citation Text: Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…

3443. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet
      psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
      September 14, 2022 - Study Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. Citation Text: Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…

3444. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study
      May 01, 2024 - Study Emerging Classic Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. Citation Text: Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…

3445. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet
      psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
      December 18, 2019 - Study Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. Citation Text: Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…

3446. What Will Be the Subject of Your Health Care Quality Report? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/subject.html
      December 01, 2022 - What Will Be the Subject of Your Health Care Quality Report? The subject of a quality report could be any level of the health care system, including: Health plans and insurance carriers. Hospitals. Medical groups or clinics. Individual clinicians. Nursing homes. Home health agencies. Behavioral …

3447. Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. | PSNet
      psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
      February 03, 2011 - Study Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. Citation Text: Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidl…

3448. The effect of a rapid response team on major clinical outcome measures in a community hospital. | PSNet
      psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
      October 19, 2022 - Study The effect of a rapid response team on major clinical outcome measures in a community hospital. Citation Text: Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82. …

3449. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. | PSNet
      psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
      July 15, 2010 - Study Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Citation Text: Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…

3450. Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet
      psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
      August 07, 2013 - Study Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Citation Text: Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…

3451. Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. | PSNet
      psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
      February 14, 2017 - Study Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. Citation Text: Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …

3452. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
      May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

3453. Track 4: Assessing Value and Evaluating Project Impact | Digital Healthcare Research
      digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

3454. Promising practices for improving hospital patient safety culture. | PSNet
      psnet.ahrq.gov/issue/promising-practices-improving-hospital-patient-safety-culture
      December 09, 2020 - Study Classic Promising practices for improving hospital patient safety culture. Citation Text: Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.00…

3455. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
      October 30, 2024 - Study Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Citation Text: Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…

3456. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet
      psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
      July 19, 2023 - Study Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. Citation Text: Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…

3457. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet
      psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
      March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

3458. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet
      psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
      November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

3459. Quality Improvement Study Framework (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
      June 02, 2025 - Quality Improvement Study Framework Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. · Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed. · Speculating about the cause of a problem before a th…

3460. Opening Materials: Attribution, Objectives, Introduction, and Main Menu | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
      October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Main Menu Previous Page Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, …