AHRQ Search | Home Page

Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. | PSNet

psnet.ahrq.gov/issue/detecting-medication-order-discrepancies-nursing-homes-how-rns-and-lpns-differ

August 15, 2013 - Study Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. Citation Text: Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30…

Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. | PSNet

psnet.ahrq.gov/issue/addressing-dual-patient-and-staff-safety-through-team-based-standardized-patient-simulation

December 03, 2018 - Study Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. Citation Text: Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patie…

Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study. | PSNet

psnet.ahrq.gov/issue/emergency-medicine-physicians-perspectives-diagnostic-accuracy-neurology-qualitative-study

July 21, 2021 - Study Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study. Citation Text: Liberman AL, Cheng NT, Friedman BW, et al. Emergency medicine physicians’ perspectives on diagnostic accuracy in neurology: a qualitative study. Diagnosis (Berl). 20…

Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps

February 12, 2020 - Study Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. Citation Text: Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …

Standardizing medication reconciliation in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department

March 10, 2019 - Study Standardizing medication reconciliation in a pediatric emergency department. Citation Text: Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. …

Are temporary staff associated with more severe emergency department medication errors? | PSNet

psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors

June 29, 2011 - Study Are temporary staff associated with more severe emergency department medication errors? Citation Text: Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…

Human factors analysis of latent safety threats in a pediatric critical care unit. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit

April 28, 2021 - Study Human factors analysis of latent safety threats in a pediatric critical care unit. Citation Text: Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc…

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. | PSNet

psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational

July 19, 2023 - Study Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. Citation Text: Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …

Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication

March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. | PSNet

psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify

August 07, 2013 - Study Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. Citation Text: Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method…

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders. | PSNet

psnet.ahrq.gov/issue/use-cpoe-log-analysis-physicians-behavior-when-responding-drug-duplication-reminders

October 27, 2016 - Study The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders. Citation Text: Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when responding to drug-duplication reminders. Int J Med I…

Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. | PSNet

psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient

November 04, 2015 - Study Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. Citation Text: Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. | PSNet

psnet.ahrq.gov/issue/implementation-evaluation-and-recommendations-extension-ahrq-common-formats-capture-patient

June 13, 2018 - Study Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. Citation Text: Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…

Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. | PSNet

psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside

December 14, 2011 - Study Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. Citation Text: Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisc…

A survey of hospital quality improvement activities. | PSNet

psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities

January 27, 2019 - Study A survey of hospital quality improvement activities. Citation Text: Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. Copy Citation Format: DOI Google Sch…

Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients

August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet

psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary

January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

Systematic review of computerized prescriber order entry and clinical decision support. | PSNet

psnet.ahrq.gov/issue/systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support

August 23, 2017 - Review Systematic review of computerized prescriber order entry and clinical decision support. Citation Text: Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2…

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. | PSNet

psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report

January 22, 2014 - Study Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. Citation Text: Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …

Serious experience events: applying patient safety concepts to improve patient experience. | PSNet

psnet.ahrq.gov/issue/serious-experience-events-applying-patient-safety-concepts-improve-patient-experience

August 04, 2021 - Commentary Serious experience events: applying patient safety concepts to improve patient experience. Citation Text: Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…

Search AHRQ

Results