AHRQ Search | Home Page

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. | PSNet

psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient

March 18, 2020 - Study The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Citation Text: De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. | PSNet

psnet.ahrq.gov/issue/guidelines-opioid-prescribing-children-and-adolescents-after-surgery-expert-panel-opinion

June 23, 2021 - Review Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. Citation Text: Kelley-Quon LI, Kirkpatrick MG, Ricca RL, et al. Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. JAMA Surg. 20…

Evaluation of medication errors at the transition of care from an ICU to non-ICU location. | PSNet

psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location

September 23, 2020 - Study Emerging Classic Evaluation of medication errors at the transition of care from an ICU to non-ICU location. Citation Text: Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…

Adverse events and emergency department opioid prescriptions in adolescents. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-emergency-department-opioid-prescriptions-adolescents

December 21, 2022 - Study Adverse events and emergency department opioid prescriptions in adolescents. Citation Text: Worsham CM, Woo J, Jena AB, et al. Adverse events and emergency department opioid prescriptions in adolescents. Health Aff (Millwood). 2021;40(6):970-978. doi:10.1377/hlthaff.2020.01762. C…

Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. | PSNet

psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential

February 14, 2024 - Commentary Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. Citation Text: Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Desi…

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. | PSNet

psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user

February 16, 2022 - Study How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. Citation Text: Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user…

Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). | PSNet

psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and

May 31, 2023 - Study Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). Citation Text: Boudreaux ED, Larkin C, Camargo CA, et al. Validation of a secondary screener for suicide risk: results from the Emergency…

Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. | PSNet

psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation

September 27, 2023 - Study Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Citation Text: Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;…

Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. | PSNet

psnet.ahrq.gov/issue/using-human-factors-methods-mitigate-bias-artificial-intelligence-based-clinical-decision

July 10, 2019 - Commentary Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. Citation Text: Militello LG, Diiulio J, Wilson DL, et al. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. J Am Med …

Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. | PSNet

psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services

August 30, 2023 - Review Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. Citation Text: DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…

What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. | PSNet

psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study

February 26, 2020 - Study What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. Citation Text: Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals

October 20, 2021 - Study Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…

Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet

psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced

May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet

psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis

August 15, 2012 - Book/Report Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Citation Text: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…

The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. | PSNet

psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely

September 07, 2011 - Study The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. Citation Text: Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using …

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. | PSNet

psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study

January 18, 2023 - Study Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. Citation Text: McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study. Nurs Crit Care. 2…

The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration

January 17, 2019 - Study The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. Citation Text: Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…

Bar-coding surgical sponges to improve safety: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial

March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial. Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

Using radiofrequency technology to prevent retained sponges and improve patient outcomes. | PSNet

psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes

November 25, 2020 - Study Using radiofrequency technology to prevent retained sponges and improve patient outcomes. Citation Text: Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet

psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant

November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…

Search AHRQ

Results