-
psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - Review
U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.
Citation Text:
Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…
-
psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
May 23, 2013 - Study
Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude.
Citation Text:
Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and atti…
-
psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
October 07, 2020 - Study
Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.
Citation Text:
Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…
-
psnet.ahrq.gov/issue/multicenter-study-evaluate-benefits-technology-assisted-workflow-iv-room-efficiency-costs-and
July 14, 2009 - Study
Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.
Citation Text:
Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …
-
psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
September 29, 2017 - Study
Association between Leapfrog safe practices score and hospital mortality in major surgery.
Citation Text:
Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…
-
www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections
Toolkit Effectiveness
When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…
-
www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - Toolkit 3. The Nursing Home Antibiogram Program Toolkit: How To Develop and Implement an Antibiogram Program
Toolkit Effectiveness
This toolkit reflects the results of preliminary work with three nursing homes to develop the antibiogram, train staff, and implement the program. 1
Overview of the Toolkit
Wh…
-
psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
April 24, 2018 - Study
Cluster randomized trial to evaluate the impact of team training on surgical outcomes.
Citation Text:
Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.…
-
psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - Study
Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.
Citation Text:
Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…
-
psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
September 07, 2016 - Study
Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.
Citation Text:
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…
-
psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - Commentary
Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report.
Citation Text:
Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…
-
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…
-
psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition
April 13, 2022 - Study
Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study.
Citation Text:
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/implementing-automated-ptquestionnaires.pdf
June 02, 2025 - Implementing Automated Patient Questionnaires
```
Implementing
Automated Patient
Questionnaires
IT2 Team – Northwestern Medicine
This project was funded under grant number U18HS028744
from the Agency for Healthcare Research and Quality
(AHRQ), U.S. Department of Health and Human Services
(HHS). The authors…
-
psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
March 06, 2012 - Study
Emerging Classic
Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study.
Citation Text:
Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementi…
-
psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm
August 13, 2013 - Study
The association between patient-reported incidents in hospitals and estimated rates of patient harm.
Citation Text:
Bjertnaes O, Deilkås ET, Skudal KE, et al. The association between patient-reported incidents in hospitals and estimated rates of patient harm. Int J Qual Health Care…
-
www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
-
psnet.ahrq.gov/issue/providing-good-and-comfortable-care-building-bond-trust-nurses-views-regarding-their-role
February 14, 2024 - Study
'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit.
Citation Text:
Wassenaar A, van den Boogaard M, van der Hooft T, et al. 'Providing good and comfortable care by buildin…
-
psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
September 14, 2022 - Study
Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals.
Citation Text:
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…
-
psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study
May 01, 2024 - Study
Emerging Classic
Assessing patient safety in a pediatric telemedicine setting: a multi-methods study.
Citation Text:
Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…