AHRQ Search | Home Page

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance

January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. | PSNet

psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical

December 21, 2017 - Commentary Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Citation Text: Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…

Patient safety incidents caused by poor quality surgical instruments. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments

April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. Citation Text: Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. Copy Citation Format: DOI Google Schola…

Practising safely in the foundation years. | PSNet

psnet.ahrq.gov/issue/practising-safely-foundation-years

February 04, 2015 - Commentary Practising safely in the foundation years. Citation Text: Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Impact of a computerized physician order-entry system. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system

October 19, 2022 - Study Impact of a computerized physician order-entry system. Citation Text: Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042. Copy Citation Format…

Adverse events and near miss reporting in the NHS. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs

August 30, 2023 - Study Adverse events and near miss reporting in the NHS. Citation Text: Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards

February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

Fixed-dose combination antihypertensives and risk of medication errors. | PSNet

psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors

September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

Pain as the neglected patient safety concern: five years on. | PSNet

psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years

July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

Filling the gap: simulation-based crisis resource management training for emergency medicine residents. | PSNet

psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents

March 19, 2018 - Commentary Filling the gap: simulation-based crisis resource management training for emergency medicine residents. Citation Text: Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…

Using learning communities to support adoption of health care innovations. | PSNet

psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations

March 15, 2017 - Commentary Using learning communities to support adoption of health care innovations. Citation Text: Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.201…

Improving safety in the operating room: a systematic literature review of retained surgical sponges. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges

March 05, 2025 - Review Improving safety in the operating room: a systematic literature review of retained surgical sponges. Citation Text: Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…

Sentinel events, serious reportable events, and root cause analysis. | PSNet

psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis

February 26, 2014 - Commentary Sentinel events, serious reportable events, and root cause analysis. Citation Text: Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672. Copy Citation …

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy

December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department

July 26, 2011 - Study Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Citation Text: Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…

Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. | PSNet

psnet.ahrq.gov/issue/sustained-improvement-neonatal-intensive-care-unit-safety-attitudes-after-teamwork-training

March 26, 2015 - Study Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. Citation Text: Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…

Automated and electronically assisted hand hygiene monitoring systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems-systematic-review

July 30, 2014 - Review Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Citation Text: Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. …

Using an MET service to manage hemorrhage post-percutaneous liver biopsy. | PSNet

psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy

January 05, 2017 - Study Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Citation Text: Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. Copy Citation Format: Go…

What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors

November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. | PSNet

psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic

June 29, 2022 - Review How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. Citation Text: Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …

Search AHRQ

Results