AHRQ Search | Home Page

A case of the birth and death of a high reliability healthcare organisation. | PSNet

psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation

June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet

psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and

July 14, 2009 - Review National efforts to improve health information system safety in Canada, the United States of America and England. Citation Text: Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …

Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. | PSNet

psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and

June 15, 2022 - Study Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. Citation Text: Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship between usability pro…

Surgical fire in the United States: 2000-2020. | PSNet

psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020

March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

The mixed blessings of smart infusion devices and health care IT. | PSNet

psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it

March 13, 2024 - Study The mixed blessings of smart infusion devices and health care IT. Citation Text: Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. Copy Citation Format: …

Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. | PSNet

psnet.ahrq.gov/issue/adjusting-duty-hour-reforms-residents-perception-safety-climate-interdisciplinary-night-float

June 01, 2022 - Study Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. Citation Text: Lafleur A, Harvey A, Simard C. Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotatio…

Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. | PSNet

psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study

October 27, 2021 - Study Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. Citation Text: Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study…

How do physicians conduct medication reviews? | PSNet

psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews

September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…

Use of failure mode and effects analysis to improve emergency department handoff processes. | PSNet

psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes

October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…

Antibiotic timing and errors in diagnosing pneumonia. | PSNet

psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia

March 20, 2024 - Study Antibiotic timing and errors in diagnosing pneumonia. Citation Text: Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84. Copy Citation Format: DOI Google Scholar …

Adopting system models for multiple incident analysis: utility and usability. | PSNet

psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability

May 19, 2021 - Study Adopting system models for multiple incident analysis: utility and usability. Citation Text: Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. Copy Citation …

Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls

January 25, 2023 - Commentary Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. Citation Text: Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…

Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. | PSNet

psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services

March 18, 2020 - Study Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. Citation Text: Seidl E, Seidl O. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.2…

Surgical safety checklist: implementation in an ambulatory surgical facility. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility

September 23, 2020 - Study Surgical safety checklist: implementation in an ambulatory surgical facility. Citation Text: Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. C…

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." | PSNet

psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized

April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college

May 26, 2016 - Review The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surg…

The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet

psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors

January 14, 2011 - Study The influence of the structure and culture of medical group practices on prescription drug errors. Citation Text: Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. | PSNet

psnet.ahrq.gov/issue/what-are-covering-doctors-told-about-their-patients-analysis-sign-out-among-internal-medicine

February 15, 2011 - Study What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qua…

Costs associated with surgical site infections in Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals

June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …

Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. | PSNet

psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant

December 15, 2021 - Study Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. Citation Text: Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…

Search AHRQ

Results