AHRQ Search | Home Page

Patient safety in the operating room—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2

October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

Debiasing health-related judgments and decision making: a systematic review. | PSNet

psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review

January 04, 2010 - Review Debiasing health-related judgments and decision making: a systematic review. Citation Text: Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. Copy Citation Forma…

Nurse-staffing levels and the quality of care in hospitals. | PSNet

psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals

June 25, 2010 - Study Classic Nurse-staffing levels and the quality of care in hospitals. Citation Text: Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22. Copy Citation Format: …

Anesthetic mishaps: breaking the chain of accident evolution. | PSNet

psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution

April 08, 2011 - Commentary Classic Anesthetic mishaps: breaking the chain of accident evolution. Citation Text: Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. Copy Citation Format: Goo…

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-academic-medical-center-implementation-comprehensive-program

April 24, 2018 - Commentary Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. Citation Text: Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive …

Sleep and circadian misalignment for the hospitalist: a review. | PSNet

psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review

July 15, 2020 - Review Sleep and circadian misalignment for the hospitalist: a review. Citation Text: Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903. Copy Citation Format: DOI Google Schola…

Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. | PSNet

psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required

June 08, 2022 - Study Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Citation Text: Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. Co…

Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. | PSNet

psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug

September 14, 2016 - Commentary Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. Citation Text: Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dis…

Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety

January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet

psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and

January 22, 2017 - Study Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Citation Text: Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…

Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

psnet.ahrq.gov/issue/scale-nature-preventability-and-causes-adverse-events-hospitalised-older-patients

July 26, 2011 - Study Scale, nature, preventability and causes of adverse events in hospitalised older patients. Citation Text: Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…

Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. | PSNet

psnet.ahrq.gov/issue/trade-offs-between-voice-and-silence-qualitative-exploration-oncology-staffs-decisions-speak

November 05, 2014 - Study Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. Citation Text: Schwappach DLB, Gehring K. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about…

Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. | PSNet

psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

March 03, 2021 - Review Emerging Classic Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. Citation Text: Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for…

Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. | PSNet

psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital

August 19, 2020 - Study Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Citation Text: Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. …

Complexity science: the challenge of complexity in health care. | PSNet

psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care

March 13, 2013 - Commentary Classic Complexity science: the challenge of complexity in health care. Citation Text: Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. Copy Citation Format: Google Scho…

Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report

January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. Citation Text: Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet

psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0

October 23, 2019 - Book/Report AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Citation Text: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…

Assessing the value of electronic prescribing in ambulatory care: A focus group study. | PSNet

psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study

September 01, 2016 - Study Assessing the value of electronic prescribing in ambulatory care: A focus group study. Citation Text: Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j…

'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. | PSNet

psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006

November 13, 2024 - Commentary 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Citation Text: Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Int J Infect Dis. 2006;10(6):419-24. Copy Citation Format: …

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. | PSNet

psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication

May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…

Search AHRQ

Results