AHRQ Search | Home Page

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. | PSNet

psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome

August 02, 2023 - Commentary A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Citation Text: Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. | PSNet

psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care

March 10, 2011 - Study Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. Citation Text: Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…

Impact of system-level activities and reporting design on the number of incident reports for patient safety. | PSNet

psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety

January 20, 2011 - Study Impact of system-level activities and reporting design on the number of incident reports for patient safety. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number of incident reports for patient safety. Qual Saf …

What 'just culture' doesn't understand about just punishment. | PSNet

psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment

December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems

May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet

psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants

August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. | PSNet

psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors

September 24, 2016 - Study Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. Citation Text: Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928…

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. | PSNet

psnet.ahrq.gov/issue/beyond-service-quality-mediating-role-patient-safety-perceptions-patient-experience

January 14, 2011 - Study Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. Citation Text: Rathert C, May DR, Williams E. Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfac…

Institutional disclosure: promise and problems. | PSNet

psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems

August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

Complexity of medication-related verbal orders. | PSNet

psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders

November 17, 2010 - Study Complexity of medication-related verbal orders. Citation Text: Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922. Copy Citation Format: DOI Google Scholar PubMed BibTe…

1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). | PSNet

psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos

April 12, 2019 - Commentary 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). Citation Text: Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…

Risk factors for adverse events in patients with breast, colorectal, and lung cancer. | PSNet

psnet.ahrq.gov/issue/risk-factors-adverse-events-patients-breast-colorectal-and-lung-cancer

July 19, 2017 - Study Risk factors for adverse events in patients with breast, colorectal, and lung cancer. Citation Text: Weingart SN, Atoria CL, Pfister D, et al. Risk Factors for Adverse Events in Patients With Breast, Colorectal, and Lung Cancer. J Patient Saf. 2021;17(8):e701-e707. doi:10.1097/pts.…

A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. | PSNet

psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety

December 04, 2024 - Review A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Citation Text: Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…

Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. | PSNet

psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety

September 24, 2016 - Study Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Citation Text: Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…

Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. | PSNet

psnet.ahrq.gov/issue/effect-alerts-drug-dosage-adjustment-inpatients-renal-insufficiency

September 01, 2016 - Study Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. Citation Text: Sellier E, Colombet I, Sabatier B, et al. Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. J Am Med Inform Assoc. 2009;16(2):203-10. doi:10.1197/j…

Patient involvement in patient safety: the health-care professional's perspective. | PSNet

psnet.ahrq.gov/issue/patient-involvement-patient-safety-health-care-professionals-perspective

July 06, 2012 - Study Patient involvement in patient safety: the health-care professional's perspective. Citation Text: Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …

The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety

April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. | PSNet

psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison

November 23, 2016 - Study Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. Citation Text: Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a compari…

Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet

psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers

February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient transfers. Citation Text: Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. …

Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system

January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

Search AHRQ

Results