-
psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
October 07, 2020 - Study
Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.
Citation Text:
Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…
-
psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
-
psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
March 14, 2022 - Study
Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.
Citation Text:
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…
-
psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - Study
Emerging Classic
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Citation Text:
Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …
-
psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
April 03, 2024 - Study
Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study.
Citation Text:
Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…
-
psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
July 08, 2008 - Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Citation Text:
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
-
psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
February 14, 2017 - Study
Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.
Citation Text:
Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…
-
psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
June 21, 2023 - Study
Medication safety event reporting: factors that contribute to safety events during times of organizational stress.
Citation Text:
Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…
-
psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
August 30, 2017 - Study
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.
Citation Text:
Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
-
psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related
December 21, 2017 - Study
Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions.
Citation Text:
van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …
-
psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
April 04, 2011 - Study
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Citation Text:
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…
-
psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
May 06, 2015 - Review
Surgical technology and operating-room safety failures: a systematic review of quantitative studies.
Citation Text:
Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…
-
psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing
August 04, 2021 - Review
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
Citation Text:
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior…
-
psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training
June 08, 2022 - Review
The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.
Citation Text:
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…
-
psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
January 20, 2016 - Study
Repeat prescribing of medications: a system-centred risk management model for primary care organisations.
Citation Text:
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …
-
psnet.ahrq.gov/issue/digital-healthcare-research
December 24, 2008 - August 19, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
-
psnet.ahrq.gov/issue/grants-line-database-gold
December 24, 2008 - September 22, 2021
Novel, High-Impact Studies Evaluating Health System and Healthcare
-
psnet.ahrq.gov/issue/special-issue-health-information-technology
August 22, 2007 - June 29, 2022
Scoping review of studies evaluating frailty and its association with medication
-
psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
September 30, 2009 - June 21, 2017
Medication safety at the interface: evaluating risks associated with discharge
-
psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - The initial head CT and skeletal survey provide critical information in screening and evaluating for … after a missed diagnosis of NAT – of these, 6 children later died and 10 survived with handicap. 9 Evaluating … A study evaluating discrepancies in head CT readings between referring community radiologists and fellowship-trained … Skeletal surveys and head CTs, critical for screening and evaluating for NAT, should generally be interpreted