AHRQ Search | Home Page

Improving critical incident reporting in primary care through education and involvement. | PSNet

psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement

September 07, 2022 - Study Improving critical incident reporting in primary care through education and involvement. Citation Text: Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…

Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet

psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals

November 03, 2015 - Study Classic Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. Citation Text: Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …

Incidence and method of suicide in hospitals in the United States. | PSNet

psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states

October 04, 2023 - Study Incidence and method of suicide in hospitals in the United States. Citation Text: Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. Copy C…

Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. | PSNet

psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both

April 22, 2017 - Review Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. Citation Text: Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…

Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study

July 20, 2022 - Study Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. Citation Text: Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…

Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care

July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet

psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers

September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…

A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. | PSNet

psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching

September 25, 2019 - Study A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. Citation Text: Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk …

Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. | PSNet

psnet.ahrq.gov/issue/overprescribing-opioids-adults-dentists-us-2011-2015

October 07, 2020 - Study Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. Citation Text: Suda KJ, Zhou J, Rowan SA, et al. Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. Am J Prev Med. 2020;58(4):473-486. doi:10.1016/j.amepre.2019.11.006. Copy Citation …

Overdose risk in young children of women prescribed opioids. | PSNet

psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids

September 07, 2016 - Study Overdose risk in young children of women prescribed opioids. Citation Text: Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. Copy Citation Format: DOI Goog…

Habit and automaticity in medical alert override: cohort study. | PSNet

psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-study

October 05, 2022 - Study Habit and automaticity in medical alert override: cohort study. Citation Text: Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. Copy Citation Format: DOI Google Sch…

The effects of harm events on 30-day readmission in surgical patients. | PSNet

psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients

July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…

Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. | PSNet

psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis

August 07, 2019 - Study Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. Citation Text: Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):84…

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. | PSNet

psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems

August 25, 2021 - Study An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. Citation Text: Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised

May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. | PSNet

psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled

April 28, 2021 - Study 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. | PSNet

psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and

October 27, 2021 - Study Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. Citation Text: Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…

Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-covid-19-pandemic-qualitative-study-perspectives-front-line-clinicians

May 15, 2024 - Study Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. Citation Text: Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024…

Search AHRQ

Results