AHRQ Search | Home Page

Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. | PSNet

psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats

April 14, 2021 - Study Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Citation Text: Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…

Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. | PSNet

psnet.ahrq.gov/issue/follow-abnormal-screening-mammograms-among-low-income-ethnically-diverse-women-findings

May 12, 2021 - Study Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Citation Text: Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…

Implementation of participatory organizational change in long term care to improve safety. | PSNet

psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety

February 01, 2012 - Study Implementation of participatory organizational change in long term care to improve safety. Citation Text: Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr…

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. | PSNet

psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study

November 16, 2022 - Study 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. Citation Text: Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…

Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. | PSNet

psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned

November 17, 2021 - Study Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. Citation Text: Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication…

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and

August 10, 2022 - Review Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. Citation Text: Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce inapprop…

A mixed-methods study of challenges experienced by clinical teams in measuring improvement. | PSNet

psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-improvement

February 20, 2019 - Study A mixed-methods study of challenges experienced by clinical teams in measuring improvement. Citation Text: Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.11…

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet

psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events

November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. | PSNet

psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal

February 15, 2023 - Study "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. Citation Text: Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …

Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. | PSNet

psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication

February 16, 2022 - Study Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. | PSNet

psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related

October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…

Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident

October 12, 2016 - Study Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Citation Text: Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Age…

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic

December 13, 2023 - Review Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic re…

Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and

July 19, 2023 - Review Emerging Classic Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. Citation Text: Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Olde…

Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet

psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores

November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. | PSNet

psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed

February 22, 2023 - Study Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. Citation Text: Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co‐designed patient …

Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. | PSNet

psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community

December 15, 2021 - Review Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. Citation Text: Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community‐ba…

Making safety training stickier: a richer model of safety training engagement and transfer. | PSNet

psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer

October 06, 2021 - Review Making safety training stickier: a richer model of safety training engagement and transfer. Citation Text: Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice

May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study

October 16, 2013 - Study Medication-related emergency department visits in pediatrics: a prospective observational study. Citation Text: Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…

Search AHRQ

Results