AHRQ Search | Home Page

Benefits of a rapid response system at a community hospital. | PSNet

psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital

July 02, 2019 - Commentary Benefits of a rapid response system at a community hospital. Citation Text: Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. Copy Citation Fo…

The Leapfrog Group's CPOE standard and evaluation tool. | PSNet

psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool

November 17, 2009 - Newspaper/Magazine Article The Leapfrog Group's CPOE standard and evaluation tool. Citation Text: The Leapfrog Group's CPOE standard and evaluation tool. Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. Copy Citation…

The quality of pharmacologic care for vulnerable older patients. | PSNet

psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients

August 27, 2012 - Study The quality of pharmacologic care for vulnerable older patients. Citation Text: Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20. Copy Citation Format: Google Scholar PubMe…

Prevalence and nature of errors and near errors reported by hospital staff nurses. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-errors-and-near-errors-reported-hospital-staff-nurses

April 24, 2018 - Study Prevalence and nature of errors and near errors reported by hospital staff nurses. Citation Text: Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Applied Nursing Research. 2005;17(4). doi:10.1016/j.apnr.2004.09…

Exploring strategies for reducing hospital errors. | PSNet

psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors

December 12, 2014 - Study Exploring strategies for reducing hospital errors. Citation Text: McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

One intensive care nursery's experience with enhancing patient safety. | PSNet

psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety

June 21, 2006 - Commentary One intensive care nursery's experience with enhancing patient safety. Citation Text: Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. Copy Citation Format: Google Scholar …

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. | PSNet

psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative

March 15, 2016 - Review Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. Citation Text: Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal Protocol Recommendations: An Inte…

Observational assessment of surgical teamwork: a feasibility study. | PSNet

psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study

August 18, 2017 - Study Observational assessment of surgical teamwork: a feasibility study. Citation Text: Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83. Copy Citation Format: Google Scholar PubMed B…

Time-out: the professional and organizational ethics of speaking up in the OR. | PSNet

psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or

November 08, 2017 - Commentary Time-out: the professional and organizational ethics of speaking up in the OR. Citation Text: Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609.…

Organization and representation of patient safety data: current status and issues around generalizability and scalability. | PSNet

psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around

January 21, 2011 - Commentary Organization and representation of patient safety data: current status and issues around generalizability and scalability. Citation Text: Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…

A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. | PSNet

psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing

April 05, 2017 - Study Classic A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. Citation Text: Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated Urinary Tract I…

A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions

December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…

Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. | PSNet

psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing

December 21, 2022 - Study Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. Citation Text: Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…

The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet

psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors

February 15, 2012 - Study The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. Citation Text: Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet

psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order

December 21, 2022 - Study Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Citation Text: Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…

State legal restrictions and prescription-opioid use among disabled adults. | PSNet

psnet.ahrq.gov/issue/state-legal-restrictions-and-prescription-opioid-use-among-disabled-adults

May 31, 2023 - Study Classic State legal restrictions and prescription-opioid use among disabled adults. Citation Text: Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.105…

Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit

October 19, 2022 - Study Classic Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. Citation Text: Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curr…

The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department | PSNet

psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care

October 30, 2024 - currently in operation in the U.S., each with its own patient care and staffing model. 8 Date First Implemented

Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet

psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment

May 31, 2023 - Date First Implemented 2006 Problem Addressed Severely injured patients

Debriefing for Clinical Learning | PSNet

psnet.ahrq.gov/primer/debriefing-clinical-learning

September 15, 2024 - going around the circle giving each person the opportunity to share or use of a “talking stick” can be implemented

Search AHRQ

Results