AHRQ Search | Home Page

Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication

August 25, 2011 - Review Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). Citation Text: Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…

Safe Administration of Medication in School: Policy Statement. | PSNet

psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement

May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

Chasing zero harm in radiation oncology: using pre-treatment peer review. | PSNet

psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review

January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…

What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. | PSNet

psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation

April 17, 2017 - Study What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Citation Text: Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…

Responding to medical errors — implementing the modern ethical paradigm. | PSNet

psnet.ahrq.gov/issue/responding-medical-errors-implementing-modern-ethical-paradigm

August 18, 2021 - Commentary Responding to medical errors — implementing the modern ethical paradigm. Citation Text: Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. Copy Citation Format:…

The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. | PSNet

psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society

September 27, 2017 - Commentary The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. Citation Text: Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for C…

Errors and nonadherence in pediatric oral chemotherapy use. | PSNet

psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use

April 08, 2020 - Study Errors and nonadherence in pediatric oral chemotherapy use. Citation Text: Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods

August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…

An appeal for evidence-based resident duty hours reform. | PSNet

psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform

August 09, 2023 - Commentary An appeal for evidence-based resident duty hours reform. Citation Text: Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. Copy Citation Format: DOI Google S…

Error codes at autopsy to study potential biases in diagnostic error. | PSNet

psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error

November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

Incorrect surgical counts: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis

September 12, 2012 - Study Incorrect surgical counts: a qualitative analysis. Citation Text: Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Nurse decision making in the prearrest period. | PSNet

psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period

July 29, 2020 - Study Nurse decision making in the prearrest period. Citation Text: Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Rapid response systems: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis

January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. Citation Text: Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. Copy Citation Format: DOI Google Schola…

Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. | PSNet

psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing

September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…

Clinical criteria to screen for inpatient diagnostic errors: a scoping review. | PSNet

psnet.ahrq.gov/issue/clinical-criteria-screen-inpatient-diagnostic-errors-scoping-review

December 12, 2018 - Review Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Citation Text: Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047. Copy Citation Forma…

Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet

psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case

December 07, 2022 - Study Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. Citation Text: Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…

Implementing SBAR across a large multihospital health system. | PSNet

psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system

November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

Experimental evidence for structured information-sharing networks reducing medical errors. | PSNet

psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors

December 15, 2021 - Study Experimental evidence for structured information-sharing networks reducing medical errors. Citation Text: Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…

Improving medication-related safety for residents in nursing homes: a qualitative study. | PSNet

psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study

March 24, 2019 - Study Improving medication-related safety for residents in nursing homes: a qualitative study. Citation Text: Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…

In Conversation with…Peter J. Pronovost, MD, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd

June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD June 1, 2005 Also Read an Essay Citation Text: In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…

Search AHRQ

Results