AHRQ Search | Home Page

ASPEN parenteral nutrition safety consensus recommendations. | PSNet

psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations

June 12, 2018 - Commentary ASPEN parenteral nutrition safety consensus recommendations. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. Copy Citation …

Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. | PSNet

psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department

March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…

A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet

psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care

September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

The struggle to improve patient care in the face of professional boundaries. | PSNet

psnet.ahrq.gov/issue/struggle-improve-patient-care-face-professional-boundaries

November 13, 2019 - Study The struggle to improve patient care in the face of professional boundaries. Citation Text: Powell AE, Davies H. The struggle to improve patient care in the face of professional boundaries. Soc Sci Med. 2012;75(5):807-14. doi:10.1016/j.socscimed.2012.03.049. Copy Citation F…

Cardiovascular medication errors in children. | PSNet

psnet.ahrq.gov/issue/cardiovascular-medication-errors-children

September 21, 2008 - Study Cardiovascular medication errors in children. Citation Text: Alexander DC, Bundy DG, Shore AD, et al. Cardiovascular medication errors in children. Pediatrics. 2009;124(1):324-32. doi:10.1542/peds.2008-2073. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

Hospital admission medication reconciliation in medically complex children: an observational study. | PSNet

psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study

April 24, 2018 - Study Hospital admission medication reconciliation in medically complex children: an observational study. Citation Text: Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…

The impact of team processes on psychiatric case management. | PSNet

psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management

November 13, 2019 - Study The impact of team processes on psychiatric case management. Citation Text: Simpson A. The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

ADEs and automation. | PSNet

psnet.ahrq.gov/issue/ades-and-automation

January 15, 2014 - Commentary ADEs and automation. Citation Text: Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7. doi:10.1097/01.NUMA.0000343983.46376.31. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. | PSNet

psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-research-david-w-bates-md-msc-brigham-and-womens

July 25, 2018 - Commentary John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Citation Text: Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Q…

An observational study of laterality errors in a sample of clinical records. | PSNet

psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records

April 19, 2011 - Study An observational study of laterality errors in a sample of clinical records. Citation Text: Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. Copy Citation Format: Google Scholar PubMed…

Auto identification technology and its impact on patient safety in the operating room of the future. | PSNet

psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future

June 22, 2009 - Commentary Auto identification technology and its impact on patient safety in the operating room of the future. Citation Text: Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the Operating Room of the Future. Surg Innov. 2007;14(1):41-50; discus…

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. | PSNet

psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating

December 18, 2013 - Review The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. Citation Text: Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…

Stakeholder challenges in purchasing medical devices for patient safety. | PSNet

psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety

February 03, 2021 - Study Stakeholder challenges in purchasing medical devices for patient safety. Citation Text: Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306. Copy Citation …

Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure

June 27, 2018 - Study Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Citation Text: Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…

Nil per os orders for imaging: a teachable moment. | PSNet

psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment

November 13, 2024 - Commentary Nil per os orders for imaging: a teachable moment. Citation Text: Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. Copy Citation Format: DOI Googl…

Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. | PSNet

psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care

October 04, 2006 - Book/Report Classic Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Citation Text: Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Ba…

Obstetric practice guidelines: labor's love lost? | PSNet

psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost

April 30, 2014 - Commentary Obstetric practice guidelines: labor's love lost? Citation Text: Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. Copy Citation Format: DOI Google Schola…

Ethical duty of health care systems to address interfacility medical error discovery. | PSNet

psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery

September 11, 2019 - Commentary Ethical duty of health care systems to address interfacility medical error discovery. Citation Text: Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…

How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet

psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers

February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

Resident Safety Practices in Nursing Home Settings. | PSNet

psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings

July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. Citation Text: Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…

Search AHRQ

Results