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AHRQ: Agency for Healthcare Research and Quality

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Showing results for "implemented".

  1. Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. | PSNet

    psnet.ahrq.gov/issue/acute-clinical-deterioration-and-consumer-escalation-understanding-and-perceptions-hospital
    May 11, 2022 - Study Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. Citation Text: Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. PLoS ONE. 2022;17(…

  2. Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting
    May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…

  3. Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. | PSNet

    psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-errors-simulated
    September 09, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. Citation Text: Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to …

  4. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. | PSNet

    psnet.ahrq.gov/issue/strengthening-open-disclosure-maternity-services-english-nhs-discern-realist-evaluation-study
    April 12, 2023 - Study Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Citation Text: Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Health Soc …

  5. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. | PSNet

    psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
    September 09, 2020 - Study Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. Citation Text: Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…

  6. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. | PSNet

    psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
    January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …

  7. Patient characteristics and the occurrence of never events. | PSNet

    psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
    February 15, 2011 - Study Patient characteristics and the occurrence of never events. Citation Text: Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. Copy Citation Format: DOI Google Schol…

  8. Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. | PSNet

    psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during
    September 24, 2018 - Study Emerging Classic Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. Citation Text: Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associa…

  9. Improving timely recognition and treatment of sepsis in the pediatric ICU. | PSNet

    psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
    December 09, 2020 - Study Improving timely recognition and treatment of sepsis in the pediatric ICU. Citation Text: Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …

  10. Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
    February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…

  11. Prevalence of adverse events in pediatric intensive care units in the United States. | PSNet

    psnet.ahrq.gov/issue/prevalence-adverse-events-pediatric-intensive-care-units-united-states
    April 11, 2011 - Study Prevalence of adverse events in pediatric intensive care units in the United States. Citation Text: Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/P…

  12. Adverse events in hospitalized pediatric patients. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
    July 11, 2017 - Study Emerging Classic Adverse events in hospitalized pediatric patients. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360. Copy Citati…

  13. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. | PSNet

    psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
    November 26, 2008 - Study How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. Citation Text: Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…

  14. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
    November 17, 2021 - Study The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. Citation Text: Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…

  15. Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

    psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause
    June 08, 2022 - Study Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. Citation Text: Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …

  16. Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet

    psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
    November 10, 2010 - Study Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? Citation Text: Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation i…

  17. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. | PSNet

    psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal
    July 30, 2014 - Study Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. Citation Text: Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…

  18. Clinical triggers: an alternative to a rapid response team. | PSNet

    psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
    December 21, 2014 - Study Clinical triggers: an alternative to a rapid response team. Citation Text: Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. Copy Citation Format: Google Scholar PubMed Bib…

  19. The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet

    psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
    November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

  20. Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
    November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…
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