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8821. Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. | PSNet
      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…

8822. Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet
      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…

8823. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet
      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…

8824. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet
      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;…

8825. 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. | PSNet
      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 …

8826. Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. | PSNet
      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…

8827. Johns Hopkins University, Baltimore | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/t32/T32-jhu1.html
      October 01, 2014 - Johns Hopkins University, Baltimore Institutional Training Programs AHRQ funds 18 institutions which recruit and train predoctoral and/or postdoctoral health services researchers. Details on characteristics of the Johns Hopkins University program and its self-identified areas of research interest are describe…

8828. Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet
      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. …

8829. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? | PSNet
      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…

8830. The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. | PSNet
      psnet.ahrq.gov/issue/disparity-frontline-clinical-staff-and-managers-perceptions-quality-and-patient-safety
      February 01, 2011 - Study The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. Citation Text: Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. J Eva…

8831. Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet
      psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
      June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

8832. Warm Handoff | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
      May 01, 2017 - Warm Handoff Patient and Family Engagement in Primary Care Slide 1: Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in …

8833. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. | PSNet
      psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
      December 09, 2020 - Study Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. Citation Text: Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…

8834. Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
      May 17, 2017 - Study Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. Citation Text: Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…

8835. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet
      psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
      March 14, 2018 - Study Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Citation Text: Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…

8836. Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. | PSNet
      psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
      January 14, 2009 - Commentary Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. Citation Text: Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation pati…

8837. Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. | PSNet
      psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
      September 22, 2021 - Study Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…

8838. The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet
      psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
      November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

8839. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. | PSNet
      psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
      December 20, 2023 - Study Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Citation Text: Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…

8840. Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet
      psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
      September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…