AHRQ Search | Home Page

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. | PSNet

psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans

October 14, 2009 - Study Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Citation Text: Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…

Passing the "Yo' Mama" test. | PSNet

psnet.ahrq.gov/issue/passing-yo-mama-test

February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs

September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

Overriding of drug safety alerts in computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/overriding-drug-safety-alerts-computerized-physician-order-entry

March 04, 2011 - Review Overriding of drug safety alerts in computerized physician order entry. Citation Text: van der Sijs H, Aarts J, Vulto A, et al. Overriding of drug safety alerts in computerized physician order entry. J Am Med Inform Assoc. 2006;13(2):138-47. Copy Citation Format: G…

Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older

February 14, 2017 - Study Classic Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. Citation Text: Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational…

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive

October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian

July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. Citation Text: Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent

April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. | PSNet

psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams

December 21, 2016 - Study Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. Citation Text: Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…

Risk of adverse drug events by patient destination after hospital discharge. | PSNet

psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge

March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007

November 12, 2014 - Study Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2…

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. | PSNet

psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre

August 16, 2017 - Study Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. Citation Text: Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? | PSNet

psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense

January 06, 2017 - Study Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Citation Text: Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…

Evaluation and certification of computerized physician order entry systems. | PSNet

psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems

May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems. Citation Text: Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. Copy Citation Format: Google…

Safety culture and care: a program to prevent surgical errors. | PSNet

psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors

March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. | PSNet

psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies

May 11, 2019 - Commentary Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. Citation Text: Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies t…

Latent risk assessment tool for health care leaders. | PSNet

psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders

September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. Citation Text: Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. Copy Citation Format: DOI Google S…

The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care

October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

Creating a culture of caregiver support. | PSNet

psnet.ahrq.gov/issue/creating-culture-caregiver-support

May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. | PSNet

psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record

August 15, 2018 - Study Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. Citation Text: Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patie…

Search AHRQ

Results