AHRQ Search | Home Page

Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care

October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

Compliance with central line maintenance bundle and infection rates. | PSNet

psnet.ahrq.gov/issue/compliance-central-line-maintenance-bundle-and-infection-rates

August 16, 2023 - Study Compliance with central line maintenance bundle and infection rates. Citation Text: Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688. Copy Citation Form…

Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-primary-care-implementing-patient-safety-curriculum

January 15, 2020 - Commentary Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. Citation Text: Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):…

Emergency department checklist: an innovation to improve safety in emergency care. | PSNet

psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care

December 20, 2023 - Commentary Emergency department checklist: an innovation to improve safety in emergency care. Citation Text: Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. | PSNet

psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching

April 24, 2018 - Commentary Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. Citation Text: Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…

Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals

October 20, 2021 - Study Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Citation Text: Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…

National patterns of codeine prescriptions for children in the emergency department. | PSNet

psnet.ahrq.gov/issue/national-patterns-codeine-prescriptions-children-emergency-department

November 16, 2022 - Study National patterns of codeine prescriptions for children in the emergency department. Citation Text: Kaiser S, Asteria-Peñaloza R, Vittinghoff E, et al. National patterns of codeine prescriptions for children in the emergency department. Pediatrics. 2014;133(5):e1139-47. doi:10.1542…

Nurses' satisfaction with medication administration point-of-care technology. | PSNet

psnet.ahrq.gov/issue/nurses-satisfaction-medication-administration-point-care-technology

January 09, 2008 - Study Nurses' satisfaction with medication administration point-of-care technology. Citation Text: Hurley A, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7-8):343-349. Copy Citation Format: Goo…

Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. | PSNet

psnet.ahrq.gov/issue/examining-relationship-among-ambulatory-surgical-settings-work-environment-nurses

March 29, 2017 - Study Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. Citation Text: Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work Environment, Nurses' Characteristics, an…

Using root cause analysis to reduce falls with injury in the psychiatric unit. | PSNet

psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit

September 18, 2019 - Study Using root cause analysis to reduce falls with injury in the psychiatric unit. Citation Text: Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007. …

Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. | PSNet

psnet.ahrq.gov/issue/implementation-preoperative-briefing-protocol-improves-accuracy-teamwork-assessment-operating

February 25, 2009 - Study Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. Citation Text: Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. …

Aviation and healthcare: a comparative review with implications for patient safety. | PSNet

psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety

February 14, 2018 - Review Aviation and healthcare: a comparative review with implications for patient safety. Citation Text: Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…

Identifying the latent failures underpinning medication administration errors: an exploratory study. | PSNet

psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study

December 21, 2016 - Study Identifying the latent failures underpinning medication administration errors: an exploratory study. Citation Text: Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…

Filling the gap: simulation-based crisis resource management training for emergency medicine residents. | PSNet

psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents

March 19, 2018 - Commentary Filling the gap: simulation-based crisis resource management training for emergency medicine residents. Citation Text: Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…

Racial and ethnic disparities in patient safety. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety

March 03, 2011 - Review Racial and ethnic disparities in patient safety. Citation Text: Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133. Copy Citation Format: DOI Google Scholar PubMed Bib…

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. | PSNet

psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology

November 19, 2018 - Commentary Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Citation Text: Franklin GM, Neurology AA of. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Neurology. 2014;83(14):1277-84. doi:10.1212/WNL.00…

Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective

March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. | PSNet

psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and

March 30, 2016 - Study Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. Citation Text: Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…

Paediatric dosing errors before and after electronic prescribing. | PSNet

psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing

February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

People, systems and safety: resilience and excellence in healthcare practice. | PSNet

psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice

March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

Search AHRQ

Results