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  1. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet

    psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
    July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

  2. Enhancing Complex Care through an Integrated Care Coordination Information System - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
    January 01, 2010 - Enhancing Complex Care through an Integrated Care Coordination Information System - 2010 Project Name Enhancing Complex Care through an Integrated Care Coordination Information System Principal Investigator Dorr, David Organization Oregon Health and Science University …

  3. Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

    psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children
    April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

  4. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. | PSNet

    psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
    April 22, 2020 - Study Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. Citation Text: Rodrigo Rincón I, Irigoyen Aristorena I, Tirapu León B, et al. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. BMC Health Ser…

  5. Duplicate medication order errors: safety gaps and recommendations for improvement. | PSNet

    psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
    March 22, 2023 - Study Duplicate medication order errors: safety gaps and recommendations for improvement. Citation Text: Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. Co…

  6. 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…

  7. 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…

  8. Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. | PSNet

    psnet.ahrq.gov/issue/financial-incentives-reduce-hospital-acquired-infections-under-alternative-payment
    September 29, 2017 - Study Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. Citation Text: Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 201…

  9. Reducing medication errors for adults in hospital settings. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
    March 09, 2022 - Review Reducing medication errors for adults in hospital settings. Citation Text: Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. Copy Cita…

  10. Effectiveness of double checking to reduce medication administration errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
    August 26, 2020 - Review Effectiveness of double checking to reduce medication administration errors: a systematic review. Citation Text: Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…

  11. Development of an Electronic Health Record Format for Children - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-electronic-health-record-format-children/annual-summary/2012
    January 01, 2012 - Development of an Electronic Health Record Format for Children - 2012 Project Name Development of an Electronic Health Record Format for Children Principal Investigator Finley, Scott Organization Westat Funding Mechanism Inter-Agency Agreement Contract Number …

  12. Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
    August 17, 2018 - Study Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. Citation Text: Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit. Drug…

  13. 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…

  14. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
    January 31, 2024 - Study Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. Citation Text: Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…

  15. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

    psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
    May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

  16. Topic 0614 Tonsillectomy NSD FINAL CC (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0768-141211.pdf
    October 23, 2014 - Topic 0614 Tonsillectomy NSD FINAL CC Tonsillectomy for Recurrent Infection and Sleep Disordered Breathing Nomination Summary Document Results of Topi…

  17. Association of overlapping surgery with perioperative outcomes. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
    June 08, 2022 - Study Emerging Classic Association of overlapping surgery with perioperative outcomes. Citation Text: Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. Copy…

  18. Assessment of perioperative outcomes among surgeons who operated the night before. | PSNet

    psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
    March 06, 2019 - Study Assessment of perioperative outcomes among surgeons who operated the night before. Citation Text: Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…

  19. Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. | PSNet

    psnet.ahrq.gov/issue/associations-between-hospital-mortality-health-care-utilization-and-inpatient-costs-2011
    June 09, 2021 - Study Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. Citation Text: Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011…

  20. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. | PSNet

    psnet.ahrq.gov/issue/state-policies-prescription-drug-monitoring-programs-and-adverse-opioid-related-hospital
    August 11, 2021 - Study State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Citation Text: Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. Med Care. 2020;58(7):610-616. d…
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