-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/outcomes-privacy-and-security-solutions
January 01, 2023 - Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project
Below are the final reports produced under RTI International's contract with the Agency for Healthcare Research and Quality (AHRQ). The contract, entitled Privacy and Security…
-
psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
January 18, 2023 - Study
Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.
Citation Text:
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
-
psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…
-
psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
January 15, 2014 - Study
Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.
Citation Text:
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…
-
psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Study
Using text mining techniques to identify health care providers with patient safety problems: exploratory study.
Citation Text:
Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…
-
psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
February 01, 2023 - Study
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
Citation Text:
Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized con…
-
psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - Study
Classic
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.
Citation Text:
Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and…
-
psnet.ahrq.gov/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use
March 05, 2014 - Study
Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system.
Citation Text:
Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "techno…
-
psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
November 16, 2022 - Study
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Citation Text:
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
-
psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - Study
The impact of computerized provider order entry on medication errors in a multispecialty group practice.
Citation Text:
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
-
psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
February 10, 2011 - Study
Classic
Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.
Citation Text:
Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on preventio…
-
psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety
August 01, 2018 - Study
Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals.
Citation Text:
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…
-
psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? A qualitative study.
Citation Text:
Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…
-
digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box
Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
-
psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - Study
Classic
Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system.
Citation Text:
Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…
-
psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
February 12, 2020 - Study
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.
Citation Text:
Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …
-
psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - Study
Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.
Citation Text:
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…
-
psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
January 07, 2015 - Study
Engaging hospital patients in the medication reconciliation process using tablet computers.
Citation Text:
Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…
-
psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - Study
Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.
Citation Text:
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…
-
psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
September 23, 2020 - Review
Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma.
Citation Text:
Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-analy…