AHRQ Search | Home Page

Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet

psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes

September 23, 2020 - Study Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. Citation Text: Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. | PSNet

psnet.ahrq.gov/issue/scoping-review-non-professional-medication-practices-and-medication-safety-outcomes-during

May 12, 2021 - Review A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Citation Text: Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health…

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls

July 07, 2021 - Review Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. Citation Text: Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis

May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. Citation Text: Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…

A systematic review of patient safety measures in adult primary care. | PSNet

psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care

March 15, 2016 - Review A systematic review of patient safety measures in adult primary care. Citation Text: Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328. Copy Citation Format…

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet

psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans

January 02, 2017 - Study Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Citation Text: Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…

The hidden cost of regulation: the administrative cost of reporting serious reportable events. | PSNet

psnet.ahrq.gov/issue/hidden-cost-regulation-administrative-cost-reporting-serious-reportable-events

December 02, 2020 - Study The hidden cost of regulation: the administrative cost of reporting serious reportable events. Citation Text: Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212…

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, …

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…

Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet

psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings

November 21, 2017 - Study Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. Citation Text: Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. | PSNet

psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney

August 10, 2022 - Study Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. Citation Text: Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic o…

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…

Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design

January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge

August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. | PSNet

psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions

January 29, 2014 - Study Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Citation Text: Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-7…

Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. | PSNet

psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient

February 23, 2011 - Study Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. Citation Text: Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…

Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. | PSNet

psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative

January 18, 2023 - Study Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. Citation Text: Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning

December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization

January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…

Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. | PSNet

psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes

June 21, 2016 - Study Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Citation Text: Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…

Search AHRQ

Results