AHRQ Search | Home Page

Using a quantitative risk register to promote learning from a patient safety reporting system. | PSNet

psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system

September 24, 2010 - Study Using a quantitative risk register to promote learning from a patient safety reporting system. Citation Text: Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff

August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet

psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application

January 03, 2017 - Study Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…

Health literacy and medication understanding among hospitalized adults. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults

April 05, 2013 - Study Health literacy and medication understanding among hospitalized adults. Citation Text: Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925. Copy Citation Format: …

Work interruptions and their contribution to medication administration errors: an evidence review. | PSNet

psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review

July 22, 2020 - Review Work interruptions and their contribution to medication administration errors: an evidence review. Citation Text: Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs…

The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. | PSNet

psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors

October 19, 2022 - Study The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. Citation Text: Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…

Database construction for improving patient safety by examining pathology errors. | PSNet

psnet.ahrq.gov/issue/database-construction-improving-patient-safety-examining-pathology-errors

December 22, 2008 - Commentary Database construction for improving patient safety by examining pathology errors. Citation Text: Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7…

Overextended: fighting the fatigue of long shifts. | PSNet

psnet.ahrq.gov/issue/overextended-fighting-fatigue-long-shifts

January 29, 2018 - Commentary Overextended: fighting the fatigue of long shifts. Citation Text: Douglass JA. Overextended: Fighting the fatigue of long shifts. Nursing (Brux). 2014;44(3):67-8. doi:10.1097/01.NURSE.0000441895.42899.0c. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular

July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …

Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. | PSNet

psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions

April 01, 2010 - Study Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Citation Text: Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 200…

A systematic quantitative assessment of risks associated with poor communication in surgical care. | PSNet

psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care

August 11, 2010 - Study A systematic quantitative assessment of risks associated with poor communication in surgical care. Citation Text: Nagpal K, Vats A, Ahmed K, et al. A systematic quantitative assessment of risks associated with poor communication in surgical care. Arch Surg. 2010;145(6):582-8. doi:1…

The economics of health care quality and medical errors. | PSNet

psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors

August 19, 2020 - Commentary The economics of health care quality and medical errors. Citation Text: Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50. Copy Citation Format: Google Scholar PubMed BibTeX…

Teamwork and Teamwork Training in Healthcare. | PSNet

psnet.ahrq.gov/issue/teamwork-and-teamwork-training-healthcare

March 02, 2022 - Special or Theme Issue Teamwork and Teamwork Training in Healthcare. Citation Text: Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/105960111877466…

Characteristics associated with postdischarge medication errors. | PSNet

psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors

April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …

Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory

October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

Impact of duty hour limits on resident training in otolaryngology. | PSNet

psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology

November 16, 2015 - Study Impact of duty hour limits on resident training in otolaryngology. Citation Text: Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope. 2005;115(5):773-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Effectiveness of computerized provider order entry with dose range checking on prescribing errors. | PSNet

psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors

October 23, 2024 - Study Effectiveness of computerized provider order entry with dose range checking on prescribing errors. Citation Text: Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi…

Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. | PSNet

psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit

February 22, 2023 - Study Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. Citation Text: WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…

Adverse event reporting: lessons learned from 4 years of Florida office data. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data

November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data. Citation Text: Coldiron BM, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079-92; discussion 1093. Copy Cit…

Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet

psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home

July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

Search AHRQ

Results