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  1. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. | PSNet

    psnet.ahrq.gov/issue/lack-timely-follow-abnormal-imaging-results-and-radiologists-recommendations
    April 13, 2017 - Study Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. Citation Text: Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/…

  2. Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. | PSNet

    psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical
    March 06, 2019 - Study Emerging Classic Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. Citation Text: Chang B, Kaye AD, Diaz JH, et al. Interventional Procedures Outside of the Operating Room: Results Fro…

  3. Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. | PSNet

    psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-use-error-reports-accidental
    June 22, 2011 - Press Release/Announcement Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. Citation Text: Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. MedWatch Safety Al…

  4. The use of a checklist in a pediatric oncology clinic. | PSNet

    psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
    April 24, 2019 - Study The use of a checklist in a pediatric oncology clinic. Citation Text: McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. Copy Citation Format: DOI Google Sch…

  5. A conceptual framework to reduce inpatient preventable deaths. | PSNet

    psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
    April 24, 2018 - Study A conceptual framework to reduce inpatient preventable deaths. Citation Text: Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003. Copy Citation …

  6. "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. | PSNet

    psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
    August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…

  7. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201709.html
    June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety Search All Impact Case Studies June 2017 St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…

  8. Common predictors of nurse-reported quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…

  9. Teaching medical error apologies: development of a multi-component intervention. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
    August 04, 2021 - Study Teaching medical error apologies: development of a multi-component intervention. Citation Text: Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6. Copy Citation Format: …

  10. Team-based care: the changing face of cardiothoracic surgery. | PSNet

    psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
    October 07, 2013 - Review Team-based care: the changing face of cardiothoracic surgery. Citation Text: Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. Copy Citation Format: D…

  11. Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

    psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
    January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

  12. Reasons for not reporting patient safety incidents in general practice: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
    February 24, 2010 - Study Reasons for not reporting patient safety incidents in general practice: a qualitative study. Citation Text: Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-2…

  13. Surgical team training: the Northwestern Memorial Hospital experience. | PSNet

    psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
    March 03, 2011 - Study Surgical team training: the Northwestern Memorial Hospital experience. Citation Text: Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545. Copy Citatio…

  14. Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
    January 11, 2017 - Study Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. Citation Text: Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…

  15. Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
    April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices Mercy Hospital Fore River Campus Portland, Maine 23 Breast Care Specialists of Maine A two-surgeon practice, we take pride in offering timely, accurate consultation and treatment for benign and malignant …

  16. Recommendations from a national panel on quality improvement in obstetrics. | PSNet

    psnet.ahrq.gov/issue/recommendations-national-panel-quality-improvement-obstetrics
    July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

  17. A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. | PSNet

    psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
    October 19, 2022 - Study A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. Citation Text: Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…

  18. Barriers to speaking up about patient safety concerns. | PSNet

    psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
    September 01, 2018 - Study Barriers to speaking up about patient safety concerns. Citation Text: Etchegaray JM, Ottosen MJ, Dancsak T, et al. Barriers to speaking up about patient safety concerns. J Patient Saf. 2020;16(4):e230-e234. doi:10.1097/pts.0000000000000334. Copy Citation Format: DOI G…

  19. Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. | PSNet

    psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
    February 03, 2016 - Study Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. Citation Text: Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e83…

  20. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
    January 31, 2024 - Review Debriefing to improve interprofessional teamwork in the operating room: a systematic review. Citation Text: Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. do…
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