-
psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
-
www.ahrq.gov/news/newsroom/case-studies/201905.html
September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools
Search All Impact Case Studies
July 2019
The University of Texas Health at San Antonio (UT Health SA) used three AHRQ tools as the basis for developing a multimedia decision aid to help patients fully understand and consent …
-
psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
October 05, 2022 - Study
Fast tracking in cardiac surgery: is it safe?
Citation Text:
MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNo…
-
psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and
November 16, 2022 - Study
Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.
Citation Text:
Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influe…
-
psnet.ahrq.gov/issue/next-step-learning-sentinel-events-healthcare
June 12, 2024 - Commentary
The next step in learning from sentinel events in healthcare.
Citation Text:
Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
October 29, 2017 - Commentary
PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.
Citation Text:
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…
-
psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review
June 28, 2017 - Study
Assessing adverse events among home care clients in three Canadian provinces using chart review.
Citation Text:
Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. do…
-
psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
April 22, 2011 - Study
Impact of patient communication problems on the risk of preventable adverse events in acute care settings.
Citation Text:
Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…
-
psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
June 26, 2019 - Study
An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting.
Citation Text:
Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…
-
psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
June 14, 2019 - Study
Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice.
Citation Text:
Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better …
-
psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
June 19, 2024 - Study
Cognitive biases encountered by physicians in the emergency room.
Citation Text:
Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - Study
Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland.
Citation Text:
Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicato…
-
psnet.ahrq.gov/issue/do-final-year-medical-students-have-sufficient-prescribing-competencies-systematic-literature
February 22, 2023 - Review
Emerging Classic
Do final-year medical students have sufficient prescribing competencies? A systematic literature review.
Citation Text:
Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing competencies? A s…
-
psnet.ahrq.gov/issue/measuring-administrators-and-direct-care-workers-perceptions-safety-culture-assisted-living
June 02, 2010 - Study
Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities.
Citation Text:
Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilitie…
-
psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
-
psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - Commentary
Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond.
Citation Text:
Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…
-
psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
July 10, 2024 - Study
Dynamic pocket card for implementing ISBAR in shift handover communication.
Citation Text:
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
…
-
psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
June 01, 2022 - Study
Inattentional blindness in anesthesiology: a gorilla is worth one thousand words.
Citation Text:
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…
-
psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human
March 24, 2019 - Study
Leveraging patient safety research: efforts made fifteen years since To Err Is Human.
Citation Text:
Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…
-
psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
May 06, 2009 - Study
The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.
Citation Text:
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…