AHRQ Search | Home Page

Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue

June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and

January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

Medicare's decision to withhold payment for hospital errors: the devil is in the details. | PSNet

psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details

March 13, 2013 - Commentary Classic Medicare's decision to withhold payment for hospital errors: the devil is in the details. Citation Text: Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…

Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet

psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective

February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. Citation Text: Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…

Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet

psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey

September 07, 2022 - Study Characteristics of critical incident reporting systems in primary care: an international survey. Citation Text: Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91.…

Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet

psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins

September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights

July 19, 2023 - Study Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Citation Text: Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…

Quality improvement for patient safety: project-level versus program-level learning. | PSNet

psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning

April 01, 2010 - Study Quality improvement for patient safety: project-level versus program-level learning. Citation Text: Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…

Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes

February 10, 2015 - Study Does Nursing Home Compare reflect patient safety in nursing homes? Citation Text: Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721. Copy Citation…

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…

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. | PSNet

psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy

April 01, 2010 - Study Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. Citation Text: Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…

Human centered design workshops as a meta-solution to diagnostic disparities. | PSNet

psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities

July 31, 2024 - Study Human centered design workshops as a meta-solution to diagnostic disparities. Citation Text: Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. Copy …

Coping strategies in health care providers as second victims: a systematic review. | PSNet

psnet.ahrq.gov/issue/coping-strategies-health-care-providers-second-victims-systematic-review

June 30, 2021 - Review Coping strategies in health care providers as second victims: a systematic review. Citation Text: Kappes M, Romero‐García M, Delgado‐Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. …

Social disparities in patient safety in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review

January 08, 2025 - Review Emerging Classic Social disparities in patient safety in primary care: a systematic review. Citation Text: Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…

Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care

May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

Challenging authority and speaking up in the operating room environment: a narrative synthesis. | PSNet

psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis

December 13, 2017 - Review Emerging Classic Challenging authority and speaking up in the operating room environment: a narrative synthesis. Citation Text: Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. | PSNet

psnet.ahrq.gov/issue/work-environment-and-operational-failures-associated-nurse-outcomes-patient-safety-and

March 17, 2021 - Study Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. Citation Text: Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfac…

Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet

psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain

March 17, 2021 - Study Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. Citation Text: Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …

Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. | PSNet

psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and

October 06, 2021 - Study Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. Citation Text: Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.…

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication

May 27, 2011 - Review Classic Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Citation Text: Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…

Search AHRQ

Results