AHRQ Search | Home Page

Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery

September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

Effective communication with primary care providers. | PSNet

psnet.ahrq.gov/issue/effective-communication-primary-care-providers

October 02, 2019 - Commentary Effective communication with primary care providers. Citation Text: Smith K. Effective communication with primary care providers. Pediatr Clin North Am. 2014;61(4):671-679. doi:10.1016/j.pcl.2014.04.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

A public health approach to patient safety reporting systems is urgently needed. | PSNet

psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed

January 14, 2014 - Review A public health approach to patient safety reporting systems is urgently needed. Citation Text: Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. …

Time motion study in a pediatric emergency department before and after computer physician order entry. | PSNet

psnet.ahrq.gov/issue/time-motion-study-pediatric-emergency-department-and-after-computer-physician-order-entry

October 19, 2022 - Study Time motion study in a pediatric emergency department before and after computer physician order entry. Citation Text: Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4)…

Investigating workplace support and the importance of psychological safety in general surgery residency training. | PSNet

psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency

July 16, 2015 - Study Investigating workplace support and the importance of psychological safety in general surgery residency training. Citation Text: Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …

Challenging authority during an emergency—the effect of a teaching intervention. | PSNet

psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention

December 13, 2017 - Study Challenging authority during an emergency—the effect of a teaching intervention. Citation Text: Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…

Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report

April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

Blurring the boundaries: scenario-based simulation in a clinical setting. | PSNet

psnet.ahrq.gov/issue/blurring-boundaries-scenario-based-simulation-clinical-setting

September 23, 2020 - Study Blurring the boundaries: scenario-based simulation in a clinical setting. Citation Text: Kneebone RL, Kidd J, Nestel D, et al. Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ. 2005;39(6). doi:10.1111/j.1365-2929.2005.02110.x. Copy Citation …

Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using

October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health

January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities

June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. | PSNet

psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety

January 03, 2017 - Commentary FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. Citation Text: Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…

Learning from no-fault treatment injury claims to improve the safety of older patients. | PSNet

psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients

September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet

psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative

March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. Citation Text: Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intra…

Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. | PSNet

psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse

October 19, 2022 - Review Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. Citation Text: Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …

Measuring communication in the surgical ICU: better communication equals better care. | PSNet

psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care

April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

A decade of health information technology usability challenges and the path forward. | PSNet

psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward

January 16, 2019 - Commentary Emerging Classic A decade of health information technology usability challenges and the path forward. Citation Text: Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. | PSNet

psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety

December 10, 2014 - Study Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Citation Text: Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…

Implicit racial bias in pediatric orthopaedic surgery. | PSNet

psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery

September 21, 2022 - Study Implicit racial bias in pediatric orthopaedic surgery. Citation Text: Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop. 2022;42(7):393-399. doi:10.1097/bpo.0000000000002170. Copy Citation Format: DOI Google Sc…

Minimising treatment-associated risks in systemic cancer therapy. | PSNet

psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy

December 22, 2021 - Review Minimising treatment-associated risks in systemic cancer therapy. Citation Text: Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8. Copy Citation Format: Google Scholar PubMed B…

Search AHRQ

Results