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  1. Medication regimen complexity and hospital readmission for an adverse drug event. | PSNet

    psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
    December 03, 2014 - Study Medication regimen complexity and hospital readmission for an adverse drug event. Citation Text: Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. C…

  2. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet

    psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
    September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

  3. Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet

    psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
    August 25, 2021 - Study Pediatric prehospital medication dosing errors: a national survey of paramedics. Citation Text: Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…

  4. Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-public-hospitals-developing-standard-measures-track-medical-errors
    December 19, 2018 - Study Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. Citation Text: Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Proc…

  5. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
    March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

  6. Higher accuracy of complex medication reconciliation through improved design of electronic tools. | PSNet

    psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
    April 05, 2017 - Study Higher accuracy of complex medication reconciliation through improved design of electronic tools. Citation Text: Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):46…

  7. Patient involvement in medication safety in hospital: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study
    February 21, 2024 - Study Patient involvement in medication safety in hospital: an exploratory study. Citation Text: Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. Cop…

  8. Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
    October 13, 2021 - Review Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. Citation Text: Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic …

  9. Nursing turbulence in critical care: relationships with nursing workload and patient safety. | PSNet

    psnet.ahrq.gov/issue/nursing-turbulence-critical-care-relationships-nursing-workload-and-patient-safety
    October 19, 2022 - Study Nursing turbulence in critical care: relationships with nursing workload and patient safety. Citation Text: Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.…

  10. Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

    psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
    January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

  11. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet

    psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
    July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

  12. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. | PSNet

    psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
    May 13, 2020 - Government Resource Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Citation Text: Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…

  13. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. | PSNet

    psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
    September 09, 2020 - Commentary 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. Citation Text: Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and …

  14. The cost of opioid–related adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
    August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

  15. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet

    psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000
    February 22, 2019 - Review Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Citation Text: Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…

  16. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet

    psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
    September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Citation Text: Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…

  17. | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/publications/search.html?page=11
    October 01, 2015 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 111 - 120 of 191 Publications displayed Find Publications by Keyword or To…

  18. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet

    psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
    August 28, 2013 - Study Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Citation Text: Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…

  19. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

    psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
    September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

  20. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

    psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
    November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
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