AHRQ Search | Home Page

National trends in the safety performance of electronic health record systems from 2009 to 2018. | PSNet

psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009-2018

July 29, 2020 - Study National trends in the safety performance of electronic health record systems from 2009 to 2018. Citation Text: Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1…

Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. | PSNet

psnet.ahrq.gov/issue/using-targeted-solutions-toolr-improve-emergency-department-handoffs-community-hospital

April 13, 2022 - Study Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. Citation Text: Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2…

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors

January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and

June 15, 2011 - Study Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. Citation Text: Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and c…

Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution

August 04, 2021 - Commentary Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Citation Text: Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…

Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. | PSNet

psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective

May 18, 2022 - Study Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. Citation Text: Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospe…

Good Practice Guides on Medication Errors: Part 1 and Part 2. | PSNet

psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2

August 03, 2016 - Book/Report Good Practice Guides on Medication Errors: Part 1 and Part 2. Citation Text: Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…

The impact of perioperative catastrophes on anesthesiologists: results of a national survey. | PSNet

psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey

August 27, 2009 - Study The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Citation Text: Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. | PSNet

psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist

June 23, 2021 - Study How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. Citation Text: Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving speci…

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. | PSNet

psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use

September 27, 2017 - Study Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. Citation Text: Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…

The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet

psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results

November 23, 2016 - Study Classic The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. Citation Text: Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet

psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and

February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association

August 07, 2013 - Study Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Citation Text: Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…

A report of information technology and health deficiencies in U.S. nursing homes. | PSNet

psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes

October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians

June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet

psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system

August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional

June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

Associations between healthcare environment design and adverse events in intensive care unit. | PSNet

psnet.ahrq.gov/issue/associations-between-healthcare-environment-design-and-adverse-events-intensive-care-unit

August 17, 2022 - Study Associations between healthcare environment design and adverse events in intensive care unit. Citation Text: Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:1…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious

May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. | PSNet

psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error

June 14, 2011 - Study Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Citation Text: Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…

Search AHRQ

Results