AHRQ Search | Home Page

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

psnet.ahrq.gov/issue/nighttime-cross-coverage-associated-decreased-intensive-care-unit-mortality-single-center

March 07, 2012 - This study revealed that cross-coverage, in which physicians care for patients they have learned about … through handoffs , was associated with lower mortality in the intensive care unit. … Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in … intensive care units in 50 countries. … June 26, 2019 Failure to recognize newly identified aortic dilations in a health care

Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. | PSNet

psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted

July 21, 2021 - The safety effects of discontinuity have been most studied in the hospital , and strategies have been … July 21, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 5, 2017 Patient-reported safety and quality of care in outpatient oncology. … May 11, 2022 Working conditions in primary care: physician reactions and care quality … June 11, 2010 Patient safety climate in primary care: age matters.

The effect of race and sex on physicians' recommendations for cardiac catheterization. | PSNet

psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization

July 15, 2020 - Gender, racial , and ethnic disparities in healthcare can affect patient safety and lead to poor … January 12, 2022 Family safety reporting in medically complex children: parent, staff … July 6, 2022 Incidence of adverse events and negligence in hospitalized patients. … August 28, 2019 Missed diagnosis of cancer in primary care: insights from malpractice … June 14, 2019 The frequency of diagnostic errors in outpatient care: estimations from

Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review

June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces … Assessing adverse events among home care clients in three Canadian provinces using chart review. … Assessing adverse events among home care clients in three Canadian provinces using chart review. … January 8, 2015 The Canadian Adverse Events Study: the incidence of adverse events among hospital … patients in Canada.

Detection of adverse drug events using an electronic trigger tool. | PSNet

psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool

October 02, 2013 - Trigger tools , which identify possible adverse events in administrative data as a precursor to chart … In this study, implementation of a trigger tool successfully uncovered adverse drug events, but there … October 2, 2013 Improving medication administration safety in solid organ transplant … in outpatient settings: clinical practice guideline. … December 7, 2009 View More See More About The Topic Hospitals Health

A survey of pharmacists' perception of the work environment and patient safety in community pharmacies during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/survey-pharmacists-perception-work-environment-and-patient-safety-community-pharmacies-during

June 23, 2009 - A survey of pharmacists' perception of the work environment and patient safety in … A survey of pharmacists' perception of the work environment and patient safety in community pharmacies … Increases in clinician workload can increase the risk of medical errors. … A survey of pharmacists' perception of the work environment and patient safety in community pharmacies … Medication report reduces number of medication errors when elderly patients are discharged from hospital

Human error, not communication and systems, underlies surgical complications. | PSNet

psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications

November 18, 2020 - October 23, 2019 Surgery is in itself a risk factor for the patient. … Improving the team in the academic operating room environment. … June 21, 2017 Implementation of the surgical safety checklist in South Carolina hospitals … is associated with improvement in perceived perioperative safety. … May 11, 2016 Trends and patterns in reporting of patient safety situations in transplantation

Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet

psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events

March 29, 2010 - surveillance system accurately captured adverse events, which supports the viability of similar systems in … November 16, 2022 Families as partners in hospital error and adverse event surveillance … 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in … Patient notification for bloodborne pathogen testing due to unsafe injection practices in … Predictors of treatment error for children with uncomplicated malaria seen as outpatients in

Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit

November 16, 2022 - Related Resources From the Same Author(s) Implementation of the I-PASS handoff program in … November 16, 2022 Families as partners in hospital error and adverse event surveillance … April 24, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 23, 2024 Electronic patient identification for sample labeling reduces wrong blood in … March 20, 2019 Changes in medication safety indicators in England throughout the covid

A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study

January 16, 2019 - Association between measured teamwork and medical errors: an observational study of prehospital care in … USA December 11, 2019 Association of diagnostic stewardship for blood cultures in … December 29, 2014 Changes in medication safety indicators in England throughout the covid … : inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. … October 21, 2020 Impact of an obstetrical hospitalist program on the safety events in

Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency

May 15, 2024 - Frontline providers' and patients' perspectives on improving diagnostic safety in … Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department … The emergency department (ED) presents unique challenges in making and communicating an accurate … April 8, 2018 Diagnostic decision-making in the emergency department. … July 21, 2021 High delayed and missed injury rate after inter-hospital transfer of severely

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two

February 16, 2022 - and outcomes in two handoff processes. … Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff … Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff … February 16, 2022 Information flow during pediatric trauma care transitions: things falling … the operating room setting in a tertiary academic center.

Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

January 10, 2024 - The COVID-19 pandemic resulted in many changes to the delivery of healthcare. … March 7, 2018 Information flow during pediatric trauma care transitions: things falling … September 11, 2019 Work system barriers and facilitators in inpatient care transitions … February 22, 2017 The experiences of risk managers in providing emotional support for … the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.

Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. | PSNet

psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient

October 05, 2022 - Frontline providers participated in a failure mode effects analysis (FMEA) to identify process failures … 5, 2022 Predictive power of the "trigger tool" for the detection of adverse events in … effective implementation of healthcare workers support interventions after patient safety incidents in … 10, 2024 Organizational culture: an important context for addressing and improving hospital … and outcomes in two handoff processes.

Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. | PSNet

psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research

June 23, 2021 - role expectations as barriers to nurses speaking up and found that nurse managers play a central role in … May 25, 2022 Omissions of care in nursing homes: a uniform definition for research and … July 10, 2017 As a critical behavior to improve quality and patient safety in health … March 4, 2011 Lost in translation: challenges and opportunities in physician-to-physician … Another Fall April 1, 2003 View More See More About The Topic Hospitals

Adherence to black box warnings for prescription medications in outpatients. | PSNet

psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients

September 29, 2017 - Study Adherence to black box warnings for prescription medications in outpatients … Adherence to black box warnings for prescription medications in outpatients. … Adherence to black box warnings for prescription medications in outpatients. … March 10, 2011 Adverse drug events in ambulatory care. … August 30, 2023 The impact of transition to a digital hospital on medication errors (

Using social and behavioural science to support COVID-19 pandemic response. | PSNet

psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response

March 02, 2022 - patients' medication lists reported by patients in personal health records: a prospective cohort study … in a hospital setting. … July 22, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … incidents in a Dutch exploratory cohort study? … April 13, 2022 High-risk medication in home care nursing: a Delphi study.

Black women's maternal health: insights from community based participatory research in Newark, New Jersey. | PSNet

psnet.ahrq.gov/issue/black-womens-maternal-health-insights-community-based-participatory-research-newark-new

June 21, 2023 - Black women's maternal health: insights from community based participatory research in … Racial disparities in maternal safety are significant. … From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals … maternity services in the English NHS: the DISCERN realist evaluation study. … safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands

The need for surgical safety checklists in neurosurgery now and in the future - a systematic review. | PSNet

psnet.ahrq.gov/issue/need-surgical-safety-checklists-neurosurgery-now-and-future-systematic-review

March 18, 2011 - Review The need for surgical safety checklists in neurosurgery now and in the future … The Need for Surgical Safety Checklists in Neurosurgery Now and in the Future-A Systematic Review. … The Need for Surgical Safety Checklists in Neurosurgery Now and in the Future-A Systematic Review. … a multistate hospital network--13 academic medical centers, April-June 2020. … A comparison of 24 surgical safety checklists in Switzerland.

Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related

April 12, 2011 - Study Adverse drug event nonrecognition in emergency departments: an exploratory … March 5, 2025 Overnight stay in the emergency department and mortality in older patients … December 1, 2010 Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … December 1, 2016 Longitudinal trends in U.S. drug shortages for medications used in emergency … in geriatric units: association with clinical and functional characteristics.

Search AHRQ

Results