AHRQ Search | Home Page

A medication error prevention survey: five years of results. | PSNet

psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results

March 26, 2015 - Study A medication error prevention survey: five years of results. Citation Text: Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284. Copy Citation Format: DOI …

Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet

psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem

March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

Consumer rankings and health care: toward validation and transparency. | PSNet

psnet.ahrq.gov/issue/consumer-rankings-and-health-care-toward-validation-and-transparency

July 06, 2022 - Study Consumer rankings and health care: toward validation and transparency. Citation Text: Hota B, Webb TA, Stein BD, et al. Consumer Rankings and Health Care: Toward Validation and Transparency. Jt Comm J Qual Patient Saf. 2016;42(10):439-446. Copy Citation Format: Google…

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet

psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care

May 18, 2022 - Study Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Citation Text: Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. N…

Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. | PSNet

psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us

October 30, 2024 - Study Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. Citation Text: Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 b…

Raising awareness of cognitive biases during diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning

February 03, 2021 - Study Raising awareness of cognitive biases during diagnostic reasoning. Citation Text: van Geene K, de Groot E, Erkelens C, et al. Raising awareness of cognitive biases during diagnostic reasoning. Perspect Med Educ. 2016;5(3):182-5. doi:10.1007/s40037-016-0274-4. Copy Citation Fo…

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety

December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…

Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback

January 08, 2020 - Study Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. Citation Text: Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? | PSNet

psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning

September 09, 2015 - Study Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? Citation Text: Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…

Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study. | PSNet

psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units

October 08, 2013 - Study Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study. Citation Text: Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BM…

Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medication-safety-pediatrics-avoid-study

October 28, 2015 - Study Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Citation Text: Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res P…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients

April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. | PSNet

psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training

February 29, 2012 - Study Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. Citation Text: Bowie P, Skinner J, de Wet C. Training health care professionals in root cause analysis: a cross-sectional study of post-training…

Competition and health plan performance: evidence from health maintenance organization insurance markets. | PSNet

psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance

July 14, 2009 - Study Competition and health plan performance: evidence from health maintenance organization insurance markets. Citation Text: Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…

Error in intensive care: psychological repercussions and defense mechanisms among health professionals. | PSNet

psnet.ahrq.gov/issue/error-intensive-care-psychological-repercussions-and-defense-mechanisms-among-health

November 29, 2023 - Study Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Citation Text: Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 201…

Crew resource management in the intensive care unit: a prospective 3-year cohort study. | PSNet

psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study

August 10, 2022 - Study Crew resource management in the intensive care unit: a prospective 3-year cohort study. Citation Text: Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10…

"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet

psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift

January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. | PSNet

psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative

June 14, 2023 - Study Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. Citation Text: Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…

Resident participation does not affect surgical outcomes, despite introduction of new techniques. | PSNet

psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques

September 23, 2020 - Study Resident participation does not affect surgical outcomes, despite introduction of new techniques. Citation Text: Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…

Emergency intubation of children outside of the operating room. | PSNet

psnet.ahrq.gov/issue/emergency-intubation-children-outside-operating-room

May 27, 2011 - Study Emergency intubation of children outside of the operating room. Citation Text: Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. Copy Citation Format: DOI G…

Search AHRQ

Results