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5701. Time of day effects on the incidence of anesthetic adverse events. | PSNet
      psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events
      January 03, 2017 - Study Time of day effects on the incidence of anesthetic adverse events. Citation Text: Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. Copy Citation Format: Google Sch…

5702. Just Culture Webcast Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
      May 01, 2007 - Just Culture Webcast Presentation University of North Carolina Health System 13 Celeste Mayer, PhD University of North Carolina Health Care System, Chapel Hill, NC UNC Medical Center • Public Academic Medical Center • Memorial, Children’s, Neurosciences, Women’s and Cancer Hospital • ~850 beds • Chapel Hill, N…

5703. Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementia. | PSNet
      psnet.ahrq.gov/issue/functional-decline-associated-polypharmacy-and-potentially-inappropriate-medications
      June 13, 2018 - Study Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementia. Citation Text: Lau DT, Mercaldo ND, Shega JW, et al. Functional decline associated with polypharmacy and potentially inappropriate medicatio…

5704. Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
      March 11, 2013 - Study Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study. Citation Text: Bould D, Sutherland S, Sydor DT, et al. Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study. Can J Anaesth. 2015;62(6):576-8…

5705. Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet
      psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
      February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…

5706. Association between state medical malpractice environment and postoperative outcomes in the United States. | PSNet
      psnet.ahrq.gov/issue/association-between-state-medical-malpractice-environment-and-postoperative-outcomes-united
      February 14, 2017 - Study Association between state medical malpractice environment and postoperative outcomes in the United States. Citation Text: Minami CA, Sheils CR, Pavey E, et al. Association Between State Medical Malpractice Environment and Postoperative Outcomes in the United States. J Am Coll Surg.…

5707. Development of the CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/hp/about/Development-CAHPS-HP-Survey.html
      May 01, 2022 - Development of the CAHPS Health Plan Survey AHRQ launched the development of the CAHPS Health Plan Survey in 1995 and released the first version for public use in 1997. Since that time, the CAHPS team has clarified and updated the survey instrument several times to reflect changes in healthcare delivery, survey…

5708. Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. | PSNet
      psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
      October 30, 2024 - Study Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. Citation Text: François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical …

5709. Participating in the SOPS® Hospital Survey Database | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/databases/hospital/databases/submission.html
      August 01, 2025 - Participating in the SOPS® Hospital Survey Database The AHRQ Surveys on Patient Safety Culture ® (SOPS ® ) Hospital Database is a central repository for survey data from hospitals in the United States or in a U.S. territory that administered the AHRQ SOPS Hospital Survey 2.0 and choose to submit their data…

5710. Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? | PSNet
      psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
      March 08, 2023 - Study Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? Citation Text: Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…

5711. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. | PSNet
      psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
      June 06, 2008 - Study Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. Citation Text: Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…

5712. Appendix B: Key CME Design Features in CHIPRA Quality Demonstration States, as of June 2014 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appb.html
      September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Appendix B: Key CME Design Features in CHIPRA Quality Demonstration States, as of June 2014 Previous Page   Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: …

5713. Iowa Medicaid Uses AHRQ Research, Data to Improve Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcoe33.html
      October 01, 2014 - Iowa Medicaid Uses AHRQ Research, Data to Improve Quality Search All Impact Case Studies March 2010 As a result of participating in the Medicaid Medical Directors Learning Network—an AHRQ Knowledge Transfer project—the Iowa Medicaid Enterprise, in consultation with the Iowa Foundation for Medical Care, used…

5714. The incidence of adverse events among home care patients. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
      December 04, 2015 - Study The incidence of adverse events among home care patients. Citation Text: Sears NA, Baker R, Barnsley J, et al. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013;25(1):16-28. doi:10.1093/intqhc/mzs075. Copy Citation Format: DOI Go…

5715. An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. | PSNet
      psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
      June 26, 2019 - Study An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. Citation Text: Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…

5716. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapi.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix I. Process Objectives, Measurements, and Evaluation Strategies The tables below provide examples of objectives that can be adapted for a patient advisory council and ways to measure its success. A. Create a Patient Advisory Coun…

5717. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet
      psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
      June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

5718. Team safety and innovation by learning from errors in long-term care settings. | PSNet
      psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
      March 05, 2010 - Study Team safety and innovation by learning from errors in long-term care settings. Citation Text: Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b0…

5719. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. | PSNet
      psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
      July 20, 2022 - Study Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. Citation Text: Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a…

5720. Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet
      psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
      October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…