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  1. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Health record review of 1,477 patients admitted from the emergency department for suspected bacteremia … Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health … 11, 2009 View More See More About The Topic Emergency Departments Health

  2. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. | PSNet

    psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
    April 15, 2014 - April 8, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety … WebM&M Cases Norepinephrine Dosing Error Associated with Multiple Health … 2004 View More See More About The Topic Emergency Departments Health

  3. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet

    psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
    December 29, 2014 - quality improvement intervention: findings from an evaluation in six providers in the English National Health … October 12, 2016 Interventions in health organisations to reduce the impact of adverse … January 7, 2015 View More See More About The Topic Hospitals Health

  4. Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

    psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
    April 24, 2018 - The authors conclude that even with confidentiality protections , health care organizations remain … longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health … April 12, 2023 Seroprevalence of SARS-CoV-2 among frontline health care personnel in

  5. Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

    psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
    April 03, 2019 - 2020 Prevalence, nature, severity and preventability of adverse drug events in mental health … settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … March 2, 2022 Diagnosis of physical and mental health conditions in primary care during

  6. Optimizing the use of dose error reduction software on intravenous infusion pumps. | PSNet

    psnet.ahrq.gov/issue/optimizing-use-dose-error-reduction-software-intravenous-infusion-pumps
    August 02, 2015 - June 16, 2011 Health services under pressure: a scoping review and development of a taxonomy … Development of a proactive process to harmonize policy, infusion pump library, and electronic health … December 8, 2021 Impact of smart pump-electronic health record interoperability on patient

  7. A study of error reporting by nurses: the significant impact of nursing team dynamics. | PSNet

    psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics
    April 12, 2014 - April 12, 2014 Patient safety culture: the impact on workplace violence and health worker … September 3, 2011 Seroprevalence of SARS-CoV-2 among frontline health care personnel … September 20, 2023 Health system redesign of cardiac monitoring oversight to optimize

  8. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite
    May 25, 2022 - error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … May 25, 2022 Redeployment of health care workers in the COVID-19 pandemic: a qualitative … study of health system leaders' strategies.

  9. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. | PSNet

    psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
    September 28, 2010 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Adverse Health … A follow-up study from US Veterans Health Administration medical centers. … December 1, 2004 View More See More About The Topic Operating Room Health

  10. Abusive supervision: a systematic review and fundamental rethink. | PSNet

    psnet.ahrq.gov/issue/abusive-supervision-systematic-review-and-fundamental-rethink
    May 18, 2022 - May 18, 2022 Implicit racial/ethnic bias among health care professionals and its influence … on health care outcomes: a systematic review. … June 28, 2023 Structural racism and adverse maternal health outcomes: a systematic review

  11. Patient safety and the problem of many hands. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
    June 16, 2021 - challenges to coordinating actions and accountability among and throughout the various components in health … To achieve improvements , the authors propose that health care needs to establish a collective responsibility … September 2, 2015 View More See More About The Topic Hospitals Health

  12. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. | PSNet

    psnet.ahrq.gov/issue/impact-nursing-skill-mix-adverse-events-intensive-care-single-centre-cohort-study
    November 21, 2021 - 2022 Effect of restriction of the number of concurrently open records in an electronic health … March 13, 2013 Efficacy and unintended consequences of hard-stop alerts in electronic health … Employee safety climate and patient safety culture in health care.

  13. Human error, not communication and systems, underlies surgical complications. | PSNet

    psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
    November 18, 2020 - September 18, 2024 Effectiveness of pharmacist intervention to reduce medication errors and health-care … November 13, 2024 Considerations for the design of safe and effective consumer health … January 19, 2011 The human factors of home health care: a conceptual model for examining

  14. A call to bridge across silos during care transitions. | PSNet

    psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions
    November 20, 2024 - real-time integration of patient-reported safety information during older adults’ hospital-to-home-health … Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health … November 19, 2018 Diagnostic discordance, health information exchange, and inter-hospital

  15. Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
    September 21, 2022 - , 2019 View More Related Resources AHRQ announces interest in health … January 15, 2025 The safety of outpatient health care: review of electronic health records

  16. Residents, responsibility, and error: how residents learn to navigate the intersection. | PSNet

    psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
    August 21, 2019 - July 22, 2011 Testing an intervention to improve health care worker well-being during … Related Resources A proposed approach to allegations of sexual boundary violation in health … June 12, 2019 Interventions to reduce burnout and improve resilience: impact on a health

  17. Medical negligence in drug associated deaths. | PSNet

    psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
    September 02, 2009 - April 4, 2011 Patient assessments of a hypothetical medical error: effects of health … December 10, 2008 View More See More About The Topic Health Care Providers … Health Care Executives and Administrators Medication Errors/Preventable Adverse Drug Events

  18. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
    June 07, 2023 - Distractions and interruptions are common during delivery of health care. … July 24, 2024 Creating a high-reliability health care system: improving performance on … January 29, 2015 Diagnosis of physical and mental health conditions in primary care during

  19. An examination of Leapfrog safety measures and Magnet designation. | PSNet

    psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
    January 27, 2021 - transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health … Professional behavior and value erosion: a qualitative study of physicians and the electronic health … June 22, 2022 Cost of health care-associated infections in the United States.

  20. Nursing staff's perceptions of patient safety in psychiatric inpatient care. | PSNet

    psnet.ahrq.gov/issue/nursing-staffs-perceptions-patient-safety-psychiatric-inpatient-care
    September 27, 2017 - June 23, 2021 Safe clinical practice for patients hospitalised in mental health wards … March 3, 2019 What causes medication administration errors in a mental health hospital … See More About The Topic Psychiatric Facilities Nurses Nurse Managers Mental Health
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