AHRQ Search | Home Page

From heroism to safe design: leveraging technology. | PSNet

psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology

August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…

Multidisciplinary crisis simulations: the way forward for training surgical teams. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams

July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…

The organizational and intraorganizational development of disasters. | PSNet

psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters

May 12, 2021 - Review Classic The organizational and intraorganizational development of disasters. Citation Text: Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. Copy Citation Format: …

Year 1 medical undergraduates' knowledge of and attitudes to medical error. | PSNet

psnet.ahrq.gov/issue/year-1-medical-undergraduates-knowledge-and-attitudes-medical-error

March 24, 2011 - Study Year 1 medical undergraduates' knowledge of and attitudes to medical error. Citation Text: Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x. Copy Ci…

Improving the quality of discharge communication with an educational intervention. | PSNet

psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention

April 24, 2018 - Study Improving the quality of discharge communication with an educational intervention. Citation Text: Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884. …

Reducing administrative harm in medicine - clinicians and administrators together. | PSNet

psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together

February 23, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators together. Citation Text: O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174. Copy Citation …

Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet

psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology

July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

A 2-year study of patient safety competency assessment in 29 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories

December 14, 2016 - Study A 2-year study of patient safety competency assessment in 29 clinical laboratories. Citation Text: Reed RC, Kim S, Farquharson K, et al. A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. Am J Clin Pathol. 2008;129(6). doi:10.1309/bm8jje1auca408tq…

Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. | PSNet

psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and

August 12, 2020 - Commentary Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Citation Text: Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…

Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet

psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …

The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry

May 04, 2010 - Study The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Citation Text: Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors

December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

Management of adverse surgical events: a structured education module for residents. | PSNet

psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents

August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward

August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer

June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

The Broselow tape as an effective medication dosing instrument: a review of the literature. | PSNet

psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature

April 09, 2009 - Review The Broselow tape as an effective medication dosing instrument: a review of the literature. Citation Text: Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…

Antibiotic prescribing in ambulatory pediatrics in the United States. | PSNet

psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states

May 25, 2016 - Study Antibiotic prescribing in ambulatory pediatrics in the United States. Citation Text: Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337. Copy Citation Format:…

What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records. | PSNet

psnet.ahrq.gov/issue/what-stands-way-technology-mediated-patient-safety-improvements-study-facilitators-and

May 16, 2012 - Study What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records. Citation Text: Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of facili…

The power of regret. | PSNet

psnet.ahrq.gov/issue/power-regret

February 17, 2011 - Commentary The power of regret. Citation Text: Groopman J, Hartzband P. The Power of Regret. N Engl J Med. 2017;377(16):1507-1509. doi:10.1056/NEJMp1709917. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet

psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and

May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …

Search AHRQ

Results