AHRQ Search | Home Page

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. | PSNet

psnet.ahrq.gov/issue/we-thought-we-would-be-perfect-medication-errors-and-after-initiation-computerized-physician

September 18, 2019 - Study We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Citation Text: Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy

May 27, 2011 - Study Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Citation Text: Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…

We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. | PSNet

psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical

October 13, 2018 - Study We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. Citation Text: Sheu L, Fung K, Mourad M, et al. We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. J …

Novel analysis of clinically relevant diagnostic errors in point-of-care devices. | PSNet

psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices

June 21, 2016 - Study Novel analysis of clinically relevant diagnostic errors in point-of-care devices. Citation Text: Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…

Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality

March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

Association of nurse engagement and nurse staffing on patient safety. | PSNet

psnet.ahrq.gov/issue/association-nurse-engagement-and-nurse-staffing-patient-safety

January 22, 2016 - Study Emerging Classic Association of nurse engagement and nurse staffing on patient safety. Citation Text: Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.…

Laboratory testing in general practice: a patient safety blind spot. | PSNet

psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot

July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

Residency training at a crossroads: duty-hour standards 2010. | PSNet

psnet.ahrq.gov/issue/residency-training-crossroads-duty-hour-standards-2010

April 17, 2013 - Commentary Residency training at a crossroads: duty-hour standards 2010. Citation Text: Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287. Copy Citatio…

A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-paradigm-patient-safety-designing-support-performance-healthcare

February 02, 2011 - Study A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. Citation Text: Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing to support the performance of the…

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers

September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use

February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. | PSNet

psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and

January 20, 2015 - Study The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. Citation Text: Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explain…

Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey. | PSNet

psnet.ahrq.gov/issue/factors-affecting-attitudes-and-barriers-medical-emergency-team-among-nurses-and-medical

March 27, 2024 - Study Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey. Citation Text: Radeschi G, Urso F, Campagna S, et al. Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors:…

Effect of hospital follow-up appointment on clinical event outcomes and mortality. | PSNet

psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality

April 24, 2018 - Study Effect of hospital follow-up appointment on clinical event outcomes and mortality. Citation Text: Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternm…

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet

psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis

March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. Citation Text: Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet

psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety

March 10, 2021 - Study Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. Citation Text: Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…

The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units

March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus

March 13, 2015 - Study Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. Citation Text: Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…

The link between clinically validated patient safety indicators and clinical outcomes. | PSNet

psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes

November 16, 2016 - Study The link between clinically validated patient safety indicators and clinical outcomes. Citation Text: Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/10628606…

Empowering patients and reducing inequities: is there potential in sharing clinical notes? | PSNet

psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes

June 05, 2019 - Commentary Empowering patients and reducing inequities: is there potential in sharing clinical notes? Citation Text: Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…

Search AHRQ

Results