AHRQ Search | Home Page

Safety in home care: a mapping review of the international literature. | PSNet

psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature

February 10, 2012 - Review Safety in home care: a mapping review of the international literature. Citation Text: Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027. Copy C…

Interventions against bullying of prelicensure students and nursing professionals: an integrative review. | PSNet

psnet.ahrq.gov/issue/interventions-against-bullying-prelicensure-students-and-nursing-professionals-integrative

December 18, 2013 - Review Interventions against bullying of prelicensure students and nursing professionals: an integrative review. Citation Text: Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing professionals: An integrative review. Nurs Forum. 201…

Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety

October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes

August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

The nature and causes of unintended events reported at ten emergency departments. | PSNet

psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments

February 20, 2013 - Study The nature and causes of unintended events reported at ten emergency departments. Citation Text: Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. …

Safety in the academic medical center: transforming challenges into ingredients for improvement. | PSNet

psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement

February 17, 2011 - Review Safety in the academic medical center: transforming challenges into ingredients for improvement. Citation Text: Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. Copy Citation …

Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions

February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm

March 01, 2011 - Study Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. Citation Text: Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…

Investigating the safety of medication administration in adult critical care settings. | PSNet

psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings

June 01, 2022 - Review Investigating the safety of medication administration in adult critical care settings. Citation Text: Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…

Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet

psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program

September 01, 2018 - Study Changes in physician practice patterns after implementation of a communication-and-resolution program. Citation Text: Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…

Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service

November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. | PSNet

psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare

October 26, 2022 - Commentary 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. Citation Text: Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…

Care at the point of impact: insights into the second-victim experience. | PSNet

psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience

January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

Implementing an error disclosure coaching model: a multicenter case study. | PSNet

psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study

May 11, 2016 - Study Implementing an error disclosure coaching model: a multicenter case study. Citation Text: White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. Copy Citati…

Preventable morbidity at a mature trauma center. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center

September 22, 2021 - Study Preventable morbidity at a mature trauma center. Citation Text: Preventable morbidity at a mature trauma center. Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. Copy Citation Save Save to your library Print Download PDF …

Postoperative handover: problems, pitfalls, and prevention of error. | PSNet

psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error

September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. Citation Text: Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. Copy Citation …

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review

April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

Representative case series from public hospital admissions 1998 II: surgical adverse events. | PSNet

psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events

June 07, 2023 - Study Representative case series from public hospital admissions 1998 II: surgical adverse events. Citation Text: Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591. Copy C…

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet

psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning

January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification

June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

Search AHRQ

Results