AHRQ Search | Home Page

How well do incident reporting systems work on inpatient psychiatric units? | PSNet

psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units

September 05, 2018 - Study How well do incident reporting systems work on inpatient psychiatric units? Citation Text: Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.…

Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. | PSNet

psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping

November 10, 2021 - Review Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. Citation Text: Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):24…

A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. | PSNet

psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during

April 13, 2022 - Commentary A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Citation Text: Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…

Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. | PSNet

psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement

January 13, 2021 - Commentary Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. Citation Text: Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A…

Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common? | PSNet

psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common

March 08, 2023 - Study Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common? Citation Text: Brekke M, Rognstad S, Straand J, et al. Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Pr…

Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic

February 24, 2021 - Review Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Citation Text: DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively in the reduction of clinical errors: a …

Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. | PSNet

psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers

December 09, 2020 - Commentary Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. Citation Text: Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…

"To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study

August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

Root cause analyses of suicides of mental health clients. | PSNet

psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients

March 16, 2016 - Study Root cause analyses of suicides of mental health clients. Citation Text: Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. | PSNet

psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care

March 04, 2020 - Study Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. Citation Text: Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…

Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions. | PSNet

psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis

November 10, 2010 - Study Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions. Citation Text: Mull HJ, Rosen AK, Charns MP, et al. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qu…

Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. | PSNet

psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary

November 16, 2022 - Study Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. Citation Text: Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…

Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet

psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and

September 23, 2020 - Study Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. Citation Text: Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in t…

Adoption of health information technology for medication safety in US hospitals, 2006. | PSNet

psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006

August 07, 2013 - Study Adoption of health information technology for medication safety in US hospitals, 2006. Citation Text: Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…

Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. | PSNet

psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation

June 14, 2017 - Study Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. Citation Text: Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is associated with p…

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-related-health-care-spain-results-spanish-national-study-adverse

December 01, 2011 - Study Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. Incidence of adverse events related to health care in Spain: results of the Spanish Nat…

The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors. | PSNet

psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents

April 14, 2021 - Study The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors. Citation Text: Silkens MEWM, Arah OA, Wagner C, et al. The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Re…

Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet

psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study

October 04, 2023 - Study Diagnostic discrepancies in the emergency department: a retrospective study. Citation Text: Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. Co…

Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. | PSNet

psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments

April 20, 2011 - Study Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. Citation Text: Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …

Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. | PSNet

psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote

November 16, 2022 - Commentary Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. Citation Text: Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…

Search AHRQ

Results