-
psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
November 18, 2009 - Review
TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review.
Citation Text:
Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…
-
psnet.ahrq.gov/issue/enhancing-pediatric-safety-assessing-and-improving-resident-competency-life-threatening
December 14, 2016 - Study
Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.
Citation Text:
Lerner C, Gaca AM, Frush DP, et al. Enhancing pediatric safety: assessing and improving resident competency in l…
-
psnet.ahrq.gov/issue/decision-support-sensible-dosing-electronic-prescribing-systems
February 23, 2011 - Study
Decision support for sensible dosing in electronic prescribing systems.
Citation Text:
Coleman JJ, Nwulu U, Ferner RE. Decision support for sensible dosing in electronic prescribing systems. J Clin Pharm Ther. 2012;37(4):415-9. doi:10.1111/j.1365-2710.2011.01310.x.
Copy Citatio…
-
psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse
December 22, 2010 - Study
Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification.
Citation Text:
Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…
-
psnet.ahrq.gov/issue/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and
April 16, 2018 - Study
Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.
Citation Text:
Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.…
-
psnet.ahrq.gov/issue/data-driven-implementation-alarm-reduction-interventions-cardiovascular-surgical-icu
August 17, 2017 - Study
Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.
Citation Text:
Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2)…
-
psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
November 21, 2018 - Study
Learning from litigation. The role of claims analysis in patient safety.
Citation Text:
Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74.
Copy Citation
Format:
Google S…
-
psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
March 05, 2010 - Study
Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.
Citation Text:
Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…
-
www.ahrq.gov/news/newsroom/case-studies/201516.html
June 01, 2015 - San Diego Universities Collaborate Using TeamSTEPPS® to Boost Professional Education
Search All Impact Case Studies
June 2015
About 900 students at two San Diego universities have been instructed in the team-based methods of TeamSTEPPS® , AHRQ's evidence-based patient safety training program for health car…
-
psnet.ahrq.gov/issue/impact-antiretroviral-stewardship-strategy-medication-error-rates
August 04, 2021 - Study
Impact of an antiretroviral stewardship strategy on medication error rates.
Citation Text:
Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420.
Copy C…
-
psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
-
psnet.ahrq.gov/issue/clinical-outcomes-associated-medication-regimen-complexity-older-people-systematic-review
March 21, 2012 - Review
Clinical outcomes associated with medication regimen complexity in older people: a systematic review.
Citation Text:
Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 201…
-
psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
November 13, 2024 - Study
Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge.
Citation Text:
Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…
-
psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
February 02, 2011 - Study
Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.
Citation Text:
Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…
-
psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center
July 22, 2020 - Study
Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.
Citation Text:
Strunk LB, Matson AW, Steinke DT. Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical Center. Hosp Pharm.…
-
psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
June 26, 2024 - Commentary
Using a medical emergency team to manage anaphylactic shock.
Citation Text:
Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3.
Copy Citation
Format:
Google Scholar PubMed …
-
psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
August 18, 2010 - Study
Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.
Citation Text:
van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…
-
psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - Study
Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study.
Citation Text:
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…
-
psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
May 28, 2014 - Study
Exploring how nursing schools handle student errors and near misses.
Citation Text:
Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31. doi:10.1097/01.NAJ.0000525849.3553…
-
psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
May 18, 2022 - Study
Reducing prescribing errors in hospitalized children on the ketogenic diet.
Citation Text:
Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009.
…