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psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
October 20, 2021 - Study
Providers' and patients' perspectives on diagnostic errors in the acute care setting.
Citation Text:
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic
May 16, 2018 - Review
Incidence and preventability of adverse events requiring intensive care admission: a systematic review.
Citation Text:
Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…
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psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten
December 20, 2023 - Study
High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.
Citation Text:
Hartel MJ, Staub LP, Röder C, et al. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten …
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psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning
July 06, 2012 - Review
Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review.
Citation Text:
Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items using machine learning and deep learning technique…
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psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - Study
Study of a multisite prospective adverse event surveillance system.
Citation Text:
Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664.
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psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital
October 06, 2016 - Study
An intervention to decrease patient identification band errors in a children's hospital.
Citation Text:
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qs…
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psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement
October 13, 2018 - Study
Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis.
Citation Text:
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…
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psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
November 04, 2020 - Study
Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework.
Citation Text:
Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around impleme…
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psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
May 13, 2020 - Government Resource
Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.
Citation Text:
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35…
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psnet.ahrq.gov/issue/effects-duty-hour-restrictions-core-competencies-education-quality-life-and-burnout-among
December 21, 2014 - Study
Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.
Citation Text:
Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout a…
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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…
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psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare
March 21, 2012 - Study
Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013.
Citation Text:
Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…
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psnet.ahrq.gov/issue/enhanced-end-life-care-associated-deploying-rapid-response-team-pilot-study
December 24, 2008 - Study
Enhanced end-of-life care associated with deploying a rapid response team: a pilot study.
Citation Text:
Vazquez R, Gheorghe C, Grigoriyan A, et al. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med. 2009;4(7):449-52. doi:10.1002…
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psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
March 23, 2011 - Study
In search of common ground in handoff documentation in an intensive care unit.
Citation Text:
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
October 01, 2018 - Research Centers for Excellence in Clinical Preventive Services
AHRQ has funded three Research Centers for Excellence in Clinical Preventive Services focusing on the delivery of preventive services in the clinical setting. Each center is conducting three research projects seeking solutions to the problems of un…
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psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - Study
Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.
Citation Text:
Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…
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psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective
June 03, 2020 - Review
Patient engagement with surgical site infection prevention: an expert panel perspective.
Citation Text:
Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrob Resist Infect Control. 2017;6:45.…
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psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
September 23, 2020 - Study
Wrong-patient orders in obstetrics.
Citation Text:
Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474.
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psnet.ahrq.gov/issue/improving-hospital-infant-safe-sleep-compliance-using-safety-prevention-bundle-methodology
March 09, 2022 - Study
Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.
Citation Text:
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. d…
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psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists
November 26, 2014 - Study
Impact of attending physician workload on patient care: a survey of hospitalists.
Citation Text:
Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternme…