AHRQ Search | Home Page

Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database

September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. | PSNet

psnet.ahrq.gov/issue/effects-2011-duty-hour-reforms-interns-and-their-patients-prospective-longitudinal-cohort

October 19, 2022 - Study Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. Citation Text: Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA In…

Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. | PSNet

psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project

October 19, 2022 - Study Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. Citation Text: Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …

Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? | PSNet

psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt

May 19, 2021 - Study Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Citation Text: Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…

Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. | PSNet

psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures

April 24, 2018 - Study Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. Citation Text: Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality…

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta

April 06, 2022 - Study Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. Citation Text: Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…

Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet

psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes

April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. | PSNet

psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning

July 08, 2015 - Study Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. Citation Text: Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet

psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis

August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …

Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events

February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…

Learning from patient safety incidents: The Green Cross method. | PSNet

psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method

June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet

psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow

September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

Use of temporary names for newborns and associated risks. | PSNet

psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks

December 21, 2017 - Study Use of temporary names for newborns and associated risks. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. Copy Citation Format: DOI Googl…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious

May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet

psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error

March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…

Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts

July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

Computerized surveillance of adverse drug events in hospital patients. | PSNet

psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients

March 27, 2005 - Study Classic Computerized surveillance of adverse drug events in hospital patients. Citation Text: Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51. Copy Citation …

Simulation exercises as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review

March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…

Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional

June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-chemotherapy-prescription-clinical-decision-support-systems-chemotherapy-process

October 10, 2018 - Review Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review. Citation Text: Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process:…

Search AHRQ

Results