AHRQ Search | Home Page

Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet

psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial

March 14, 2022 - Study Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Citation Text: Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med…

Disclosure of "nonharmful" medical errors and other events: duty to disclose. | PSNet

psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose

January 23, 2017 - Commentary Disclosure of "nonharmful" medical errors and other events: duty to disclose. Citation Text: Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005. …

Reducing errors resulting from commonly missed chest radiography findings. | PSNet

psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings

August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …

Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet

psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100

March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. Citation Text: Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…

An evolution of reporting: identifying the missing link. | PSNet

psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link

August 17, 2022 - Commentary An evolution of reporting: identifying the missing link. Citation Text: Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. Copy Citation Format: …

A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. | PSNet

psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and

May 25, 2011 - Study A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. Citation Text: Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis

June 15, 2011 - Study Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Citation Text: Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…

Human factors systems approach to healthcare quality and patient safety. | PSNet

psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety

October 03, 2013 - Commentary Human factors systems approach to healthcare quality and patient safety. Citation Text: Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…

Barriers to staff adoption of a surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/barriers-staff-adoption-surgical-safety-checklist

February 25, 2015 - Study Barriers to staff adoption of a surgical safety checklist. Citation Text: Fourcade A, Blache J-L, Grenier C, et al. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191-7. doi:10.1136/bmjqs-2011-000094. Copy Citation Format: DOI Go…

Variation in the rates of adverse events between hospitals and hospital departments. | PSNet

psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments

July 26, 2011 - Study Variation in the rates of adverse events between hospitals and hospital departments. Citation Text: Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…

Practice advisory for the prevention and management of operating room fires. | PSNet

psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires

December 14, 2010 - Commentary Practice advisory for the prevention and management of operating room fires. Citation Text: Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. | PSNet

psnet.ahrq.gov/issue/medication-safety-and-administration-intravenous-vincristine-international-survey-oncology

March 26, 2015 - Study Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. Citation Text: Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…

Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual

March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model

June 14, 2017 - Commentary A framework for patient safety: a defense nuclear industry-based high-reliability model. Citation Text: Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…

The timing of surgical antimicrobial prophylaxis. | PSNet

psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis

June 24, 2009 - Study The timing of surgical antimicrobial prophylaxis. Citation Text: Weber WP, Marti WR, Zwahlen M, et al. The Timing of Surgical Antimicrobial Prophylaxis. Ann Surg. 2008;247(6). doi:10.1097/sla.0b013e31816c3fec. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Resident perceptions of the impact of work hour limitations. | PSNet

psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations

August 04, 2021 - Study Resident perceptions of the impact of work hour limitations. Citation Text: Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after

April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare

July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

A new perspective on blame culture: an experimental study. | PSNet

psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study

July 10, 2013 - Study A new perspective on blame culture: an experimental study. Citation Text: Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x. Copy Citation Format: …

"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care

August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Search AHRQ

Results