AHRQ Search | Home Page

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and

March 31, 2021 - Study Classic Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. Citation Text: Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…

Quality and safety implications of emergency department information systems. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems

November 30, 2012 - Commentary Quality and safety implications of emergency department information systems. Citation Text: Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…

Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. | PSNet

psnet.ahrq.gov/issue/effectiveness-patient-safety-training-equipping-medical-students-recognise-safety-hazards-and

March 23, 2011 - Study Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. Citation Text: Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to recognise safety hazards…

Effects of learning climate and registered nurse staffing on medication errors. | PSNet

psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors

February 15, 2011 - Study Effects of learning climate and registered nurse staffing on medication errors. Citation Text: Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc. Copy Citation Format: …

Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and

September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

Creating a safer health care system: finding the constraint. | PSNet

psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint

February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet

psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge

July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. Citation Text: Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…

A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals

September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary

May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …

Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. | PSNet

psnet.ahrq.gov/issue/algorithm-based-smartphone-apps-assess-risk-skin-cancer-adults-systematic-review-diagnostic

July 29, 2020 - Review Classic Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. Citation Text: Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in adults…

Factors associated with workarounds in barcode-assisted medication administration in hospitals. | PSNet

psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration-hospitals

January 23, 2019 - Study Factors associated with workarounds in barcode-assisted medication administration in hospitals. Citation Text: Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode‐assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. d…

Performance of a trigger tool for identifying adverse events in oncology. | PSNet

psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology

May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. | PSNet

psnet.ahrq.gov/issue/bias-warp-speed-how-ai-may-contribute-disparities-gap-time-covid-19

July 22, 2020 - Commentary Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. Citation Text: Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192.…

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. | PSNet

psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing

March 11, 2020 - Study What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. Citation Text: Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …

Analysis of critical incident reports using natural language processing. | PSNet

psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing

June 14, 2023 - Study Analysis of critical incident reports using natural language processing. Citation Text: Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. Copy Citation Format: …

From box ticking to the black box: the evolution of operating room safety. | PSNet

psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety

October 29, 2017 - Commentary From box ticking to the black box: the evolution of operating room safety. Citation Text: Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. Copy Citation …

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates

February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

The impact of clinically undiagnosed injuries on survival estimates. | PSNet

psnet.ahrq.gov/issue/impact-clinically-undiagnosed-injuries-survival-estimates

April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. | PSNet

psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety

July 10, 2019 - Study Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. Citation Text: Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safet…

How hospital leaders contribute to patient safety through the development of trust. | PSNet

psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust

January 22, 2014 - Study How hospital leaders contribute to patient safety through the development of trust. Citation Text: Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.00000000000000…

Search AHRQ

Results