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  1. 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. | PSNet

    psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
    September 06, 2017 - Study 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. Citation Text: Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…

  2. Patient safety in the operating room—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
    October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

  3. Impact of senior clinical review on patient disposition from the emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
    August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

  4. 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 …

  5. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

  6. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
    March 03, 2010 - Study Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Citation Text: Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…

  7. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. | PSNet

    psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
    October 13, 2021 - Commentary Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. Citation Text: van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…

  8. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

    psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
    March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

  9. Ward round template: enhancing patient safety on ward rounds. | PSNet

    psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
    April 19, 2023 - Commentary Ward round template: enhancing patient safety on ward rounds. Citation Text: Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds. BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170. Copy Citation Format: …

  10. 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(…

  11. Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. | PSNet

    psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
    March 01, 2023 - Study Classic Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. Citation Text: Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveill…

  12. Implementation of standardized dosing units for I.V. medications. | PSNet

    psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
    May 11, 2014 - Study Implementation of standardized dosing units for I.V. medications. Citation Text: Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046. Copy Citation Format: …

  13. Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

    psnet.ahrq.gov/issue/scale-nature-preventability-and-causes-adverse-events-hospitalised-older-patients
    July 26, 2011 - Study Scale, nature, preventability and causes of adverse events in hospitalised older patients. Citation Text: Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…

  14. Patient risk factors for medical injury: a case–control study. | PSNet

    psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
    April 12, 2011 - Study Patient risk factors for medical injury: a case–control study. Citation Text: Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. Copy Citation Format: …

  15. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. | PSNet

    psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians
    July 20, 2022 - Study Secure messaging use and wrong-patient ordering errors among inpatient clinicians. Citation Text: Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47…

  16. Preventing mistransfusions: an evaluation of institutional knowledge and a response. | PSNet

    psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
    June 06, 2018 - Study Preventing mistransfusions: an evaluation of institutional knowledge and a response. Citation Text: MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…

  17. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. | PSNet

    psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
    June 23, 2021 - Review An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Citation Text: Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…

  18. Enhancing Administrative Data

    hcup-us.ahrq.gov/reports/admindata.jsp
    April 01, 2022 - Enhancing Administrative Data An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  19. Topical Reports

    hcup-us.ahrq.gov/reports/topicalrpts.jsp
    October 01, 2024 - Topical Reports An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  20. Improving standardization of paging communication using quality improvement methodology. | PSNet

    psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
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