AHRQ Search | Home Page

Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-medication-review-nursing-home-residents-what-are-most-significant-drug

August 04, 2021 - Study Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. Citation Text: Ruths S, Straand J, Nygaard HA. Multidisciplinary medication review in nursing home residents: what…

Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet

psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change

March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…

The impact of power on health care team performance and patient safety: a review of the literature. | PSNet

psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature

February 01, 2023 - Review The impact of power on health care team performance and patient safety: a review of the literature. Citation Text: Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. …

Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association

April 21, 2021 - Study Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. Citation Text: Fromm MF, Maas R, Tümena T, et al. Potentially inappropriate medications in a large cohort of patients in geriatric u…

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized

October 15, 2008 - Study Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Citation Text: Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery. | PSNet

psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving

June 21, 2015 - Review Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery. Citation Text: Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review

October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

High reliability pediatric heart centers: always working toward getting better. | PSNet

psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better

September 18, 2024 - Commentary High reliability pediatric heart centers: always working toward getting better. Citation Text: Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. Copy C…

Patients' identification and reporting of unsafe events at six hospitals in Japan. | PSNet

psnet.ahrq.gov/issue/patients-identification-and-reporting-unsafe-events-six-hospitals-japan

January 11, 2023 - Study Patients' identification and reporting of unsafe events at six hospitals in Japan. Citation Text: Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. Copy Citati…

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 …

Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet

psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases

June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

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…

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. | PSNet

psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-admitted-emergency

May 18, 2022 - Study Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. Citation Text: Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency depa…

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. …

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…

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. …

Uncertainty in decision making in medicine: a scoping review and thematic analysis of conceptual models. | PSNet

psnet.ahrq.gov/issue/uncertainty-decision-making-medicine-scoping-review-and-thematic-analysis-conceptual-models

July 11, 2018 - Review Uncertainty in decision making in medicine: a scoping review and thematic analysis of conceptual models. Citation Text: Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med. 2020;95(1):157-165. doi:10.1097/acm.0000000000002902. Copy Cita…

Nurses and nursing students as second victims: a scoping review. | PSNet

psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-review

March 08, 2023 - Review Nurses and nursing students as second victims: a scoping review. Citation Text: Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook. 2023;71(4):101992. doi:10.1016/j.outlook.2023.101992. Copy Citation Format: DOI Google S…

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…

Search AHRQ

Results