AHRQ Search | Home Page

Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet

psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management

February 03, 2016 - Study Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Citation Text: Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems …

Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-harmful-diagnostic-errors-hospitalised-adults-systematic-review-and-meta-analysis

April 01, 2020 - Review Emerging Classic Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. Citation Text: Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic …

Whistleblowing over patient safety and care quality: a review of the literature. | PSNet

psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature

April 08, 2019 - Review Emerging Classic Whistleblowing over patient safety and care quality: a review of the literature. Citation Text: Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers

December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah

October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

Incidence and severity of medication reconciliation discrepancies in trauma patients. | PSNet

psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients

October 19, 2022 - Study Incidence and severity of medication reconciliation discrepancies in trauma patients. Citation Text: Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/000313482311616…

Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet

psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand

April 27, 2015 - Study Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. Citation Text: Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…

Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet

psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school

February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? | PSNet

psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare

January 21, 2009 - Study To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? Citation Text: Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records r…

Failure mode and effects analysis to reduce risk of heparin use. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use

July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. | PSNet

psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic

April 17, 2019 - Study Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. Citation Text: Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic i…

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety

January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability

March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. | PSNet

psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response

March 13, 2013 - Commentary Classic Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. Citation Text: Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. Copy Cit…

PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. | PSNet

psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety

January 08, 2020 - Study PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Citation Text: De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…

ICU nurses' acceptance of electronic health records. | PSNet

psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records

December 31, 2014 - Study ICU nurses' acceptance of electronic health records. Citation Text: Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018. Copy Citation Format: DOI Google…

Improving patient safety by identifying side effects from introducing bar coding in medication administration. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication

March 11, 2011 - Study Classic Improving patient safety by identifying side effects from introducing bar coding in medication administration. Citation Text: Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in me…

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. | PSNet

psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare

July 06, 2022 - Study Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Citation Text: Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug

August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. Citation Text: Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…

Physician reporting of clinically significant events through a computerized patient sign-out system. | PSNet

psnet.ahrq.gov/issue/physician-reporting-clinically-significant-events-through-computerized-patient-sign-out

January 25, 2023 - Study Physician reporting of clinically significant events through a computerized patient sign-out system. Citation Text: Nabors C, Peterson SJ, Aronow WS, et al. Physician reporting of clinically significant events through a computerized patient sign-out system. J Patient Saf. 2011;7(…

Search AHRQ

Results