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  1. Structured handover in general surgery: an audit of current practice. | PSNet

    psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
    August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

  2. An observational study of medication administration errors in old-age psychiatric inpatients. | PSNet

    psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
    September 27, 2017 - Study An observational study of medication administration errors in old-age psychiatric inpatients. Citation Text: Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6. Copy Ci…

  3. From HRO to HERO: making health equity a core system capability. | PSNet

    psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
    September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

  4. Microsoft PowerPoint - 4 MHAJan2008_lah.ppt (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/ahrq-collect-transmission1.pdf
    January 15, 2008 - Microsoft PowerPoint - 4 MHAJan2008_lah.ppt “Linking Clinical Data to Administrative Data” AHRQ Contract with MHA Data Collection & Transmission Linda Hyde RHIA Cardinal Health Director Research Operations January 15, 2008 2 Data Collection & Transmission • Data Sources • Classifications • Data Merging/Lin…

  5. Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
    June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

  6. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. | PSNet

    psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
    September 28, 2010 - Study Classic Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…

  7. Changes in nursing practice: associations with responses to and coping with errors. | PSNet

    psnet.ahrq.gov/issue/changes-nursing-practice-associations-responses-and-coping-errors
    October 19, 2022 - Study Changes in nursing practice: associations with responses to and coping with errors. Citation Text: Karga M, Kiekkas P, Aretha D, et al. Changes in nursing practice: associations with responses to and coping with errors. J Clin Nurs. 2011;20(21-22):3246-55. doi:10.1111/j.1365-2702…

  8. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. | PSNet

    psnet.ahrq.gov/issue/context-sensitive-decision-support-infobuttons-electronic-health-records-systematic-review
    August 23, 2023 - Review Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. Citation Text: Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017…

  9. Considerations for the design of safe and effective consumer health IT applications in the home. | PSNet

    psnet.ahrq.gov/issue/considerations-design-safe-and-effective-consumer-health-it-applications-home
    September 24, 2016 - Study Considerations for the design of safe and effective consumer health IT applications in the home. Citation Text: Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…

  10. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
    March 08, 2023 - Study Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Citation Text: Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …

  11. Reducing inappropriate diagnostic practice through education and decision support. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
    December 13, 2013 - Study Reducing inappropriate diagnostic practice through education and decision support. Citation Text: Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…

  12. Safety in home care: a mapping review of the international literature. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
    February 10, 2012 - Review Safety in home care: a mapping review of the international literature. Citation Text: Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027. Copy C…

  13. Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. | PSNet

    psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
    December 23, 2020 - Study Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. Citation Text: Use of the Second Victim …

  14. Prevalence of polypharmacy exposure among hospitalized children in the United States. | PSNet

    psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
    August 20, 2016 - Study Prevalence of polypharmacy exposure among hospitalized children in the United States. Citation Text: Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…

  15. If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

    psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors
    July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

  16. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet

    psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
    March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. Citation Text: Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…

  17. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet

    psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

  18. The timing of surgical antimicrobial prophylaxis. | PSNet

    psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
    June 24, 2009 - Study The timing of surgical antimicrobial prophylaxis. Citation Text: Weber WP, Marti WR, Zwahlen M, et al. The Timing of Surgical Antimicrobial Prophylaxis. Ann Surg. 2008;247(6). doi:10.1097/sla.0b013e31816c3fec. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  19. Intensive care unit safety culture and outcomes: a US multicenter study. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study
    June 16, 2011 - Study Intensive care unit safety culture and outcomes: a US multicenter study. Citation Text: Huang DT, Clermont G, Kong L, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151-61. doi:10.1093/intqhc/mzq017. Copy Citat…

  20. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…
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