AHRQ Search | Home Page

A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. | PSNet

psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation

September 24, 2010 - Study A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. Citation Text: Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification a…

Medical errors recovered by critical care nurses. | PSNet

psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses

June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

Does an insulin double-checking procedure improve patient safety? | PSNet

psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety

April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

Barcode medication administration work-arounds: a systematic review and implications for nurse executives. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse

January 10, 2017 - Review Barcode medication administration work-arounds: a systematic review and implications for nurse executives. Citation Text: Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…

Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. | PSNet

psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system

August 04, 2021 - Commentary Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Citation Text: Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227. Copy …

Medication errors in a pharmacy-based bar-code-repackaging center. | PSNet

psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center

June 28, 2010 - Study Medication errors in a pharmacy-based bar-code-repackaging center. Citation Text: Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am J Health Syst Pharm. 2006;63(2):165-8. Copy Citation Format: Google Scholar Pu…

Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. | PSNet

psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation

October 23, 2024 - Study Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. Citation Text: Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementat…

Learning from every death. | PSNet

psnet.ahrq.gov/issue/learning-every-death

June 28, 2011 - Commentary Learning from every death. Citation Text: Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. | PSNet

psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner

October 19, 2022 - Study Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. Citation Text: Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. Copy Citation Forma…

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada

September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery

May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet

psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review

January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis

September 23, 2020 - Commentary Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. Citation Text: Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…

What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning

November 16, 2022 - Commentary What is an ethically informed approach to managing patient safety risk during discharge planning? Citation Text: West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…

Medication discrepancies at pediatric hospital discharge. | PSNet

psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge

January 29, 2020 - Study Medication discrepancies at pediatric hospital discharge. Citation Text: Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085. Copy Citation Format: DOI Google Schol…

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-intelligent-intravenous-infusion-devices-experience-specialty

January 07, 2015 - Study Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. Citation Text: Wood JL, Burnette JS. Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac hospital. Heart & Lun…

The costs of developing, implementing, and operating a safety learning system in community practice. | PSNet

psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice

March 21, 2012 - Study The costs of developing, implementing, and operating a safety learning system in community practice. Citation Text: O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):2…

The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet

psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric

January 22, 2016 - Review The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Citation Text: Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…

Implementing a team-based daily goals sheet in a non-ICU setting. | PSNet

psnet.ahrq.gov/issue/implementing-team-based-daily-goals-sheet-non-icu-setting

January 03, 2017 - Commentary Implementing a team-based daily goals sheet in a non-ICU setting. Citation Text: Holzmueller CG, Timmel J, Kent P, et al. Implementing a team-based daily goals sheet in a non-ICU setting. Jt Comm J Qual Patient Saf. 2009;35(7):384-8, 341. Copy Citation Format: Go…

Perceived disability-based discrimination in health care for children with medical complexity. | PSNet

psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity

November 16, 2022 - Study Perceived disability-based discrimination in health care for children with medical complexity. Citation Text: Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …

Search AHRQ

Results