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  1. Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

    psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
    May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

  2. Improving medication safety with accurate preadmission medication lists and postdischarge education. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
    June 26, 2019 - Study Improving medication safety with accurate preadmission medication lists and postdischarge education. Citation Text: Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …

  3. The frequency of missed test results and associated treatment delays in a highly computerized health system. | PSNet

    psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
    July 22, 2009 - Study The frequency of missed test results and associated treatment delays in a highly computerized health system. Citation Text: Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32. …

  4. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/tools/index.html?page=1
    December 01, 2012 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

  5. National trends in safety performance of electronic health record systems in children's hospitals. | PSNet

    psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
    July 29, 2020 - Study Classic National trends in safety performance of electronic health record systems in children's hospitals. Citation Text: Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hos…

  6. Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. | PSNet

    psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
    August 02, 2017 - Study Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. Citation Text: Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. He…

  7. Floating to intensive care units: nurses' messages for instant action to promote patient safety. | PSNet

    psnet.ahrq.gov/issue/floating-intensive-care-units-nurses-messages-instant-action-promote-patient-safety
    August 15, 2018 - Study Floating to intensive care units: nurses' messages for instant action to promote patient safety. Citation Text: Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. …

  8. Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities
    April 15, 2016 - Study Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in …

  9. Development and measurement of perioperative patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/development-and-measurement-perioperative-patient-safety-indicators
    February 09, 2022 - Study Development and measurement of perioperative patient safety indicators. Citation Text: Emond YE, Stienen JJ, Wollersheim HC, et al. Development and measurement of perioperative patient safety indicators. Br J Anaesth. 2015;114(6):963-72. doi:10.1093/bja/aeu561. Copy Citation …

  10. Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? | PSNet

    psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
    September 12, 2016 - Study Classic Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? Citation Text: Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…

  11. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. | PSNet

    psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
    May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…

  12. Developing and evaluating an automated all-cause harm trigger system. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
    July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

  13. Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? | PSNet

    psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
    May 01, 2015 - Study Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? Citation Text: Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …

  14. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet

    psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
    November 29, 2023 - Study Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. Citation Text: Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…

  15. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. | PSNet

    psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
    January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. Citation Text: Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…

  16. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. | PSNet

    psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls
    July 13, 2010 - Study Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Citation Text: Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. …

  17. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet

    psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
    August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

  18. Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. | PSNet

    psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and
    June 15, 2011 - Study Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. Citation Text: Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and c…

  19. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. | PSNet

    psnet.ahrq.gov/issue/multicenter-study-evaluate-benefits-technology-assisted-workflow-iv-room-efficiency-costs-and
    July 14, 2009 - Study Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Citation Text: Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …

  20. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. | PSNet

    psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
    December 29, 2014 - Study Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Citation Text: López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…
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