AHRQ Search | Home Page

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services

November 15, 2023 - Study A multisite study of interprofessional teamwork and collaboration on general medical services. Citation Text: O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center

February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. | PSNet

psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative

June 15, 2022 - Study Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. Citation Text: Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …

Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet

psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety

August 12, 2020 - Study Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. Citation Text: Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices, employee engagement, …

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet

psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format

July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…

The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal

September 23, 2020 - Study The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. Citation Text: Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet

psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication

August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

Association of primary care clinic appointment time with opioid prescribing. | PSNet

psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing

September 01, 2021 - Study Association of primary care clinic appointment time with opioid prescribing. Citation Text: Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373. Copy Citati…

Medication errors from over-the-counter cough and cold medications in children. | PSNet

psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children

August 26, 2020 - Study Medication errors from over-the-counter cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Medication errors from over-the-counter cough and cold medications in children. Acad Ped. 2020;20(3):327-332. doi:10.1016/j.acap.2019.09.006. Copy…

Early diagnosis of cancer: systems approach to support clinicians in primary care. | PSNet

psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care

December 14, 2022 - Commentary Early diagnosis of cancer: systems approach to support clinicians in primary care. Citation Text: Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225…

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. | PSNet

psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient

March 18, 2020 - Study The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Citation Text: De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability. | PSNet

psnet.ahrq.gov/issue/understanding-factors-could-influence-patient-acceptability-use-pincer-intervention-primary

May 24, 2023 - Study Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability. Citation Text: Laing L, Salema N-E, Jeffries M, et al. Understanding factors that coul…

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). | PSNet

psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi

June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…

Changes in medical errors after implementation of a handoff program. | PSNet

psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program

April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. | PSNet

psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience-3-us

June 06, 2018 - Study A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. Citation Text: Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcar…

Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm

March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. | PSNet

psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and

December 19, 2018 - Study Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. Citation Text: Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Progr…

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet

psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…

Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. | PSNet

psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative

December 29, 2014 - Study Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. Citation Text: Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…

Search AHRQ

Results