AHRQ Search | Home Page

Trainee autonomy and patient safety. | PSNet

psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety

November 03, 2021 - Commentary Trainee autonomy and patient safety. Citation Text: George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled

January 28, 2009 - Study The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. Citation Text: Weller JM, Merry AF, Robinson BJ, et al. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. …

Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture

March 28, 2011 - Study Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Citation Text: Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qua…

Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey

January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet

psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care

July 02, 2008 - Study How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? Citation Text: Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…

The "To Err Is Human Report" and the patient safety literature. | PSNet

psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature

November 16, 2022 - Review The "To Err Is Human Report" and the patient safety literature. Citation Text: Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. Copy Citation Format: Google Scholar P…

Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. | PSNet

psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate

March 05, 2025 - Study Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. Citation Text: Holmes L, Enwere M, Mason R, et al. Medical misadventures as …

Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. | PSNet

psnet.ahrq.gov/issue/identifying-factors-influencing-clinicians-reporting-medication-errors-systematic-review-and

December 11, 2013 - Review Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. Citation Text: Takhtinejad NJ, Stewart D, Nazar Z, et al. Identifying factors influencing clinicians’ reporti…

Physician knowledge, attitudes, and behavior related to reporting adverse drug events. | PSNet

psnet.ahrq.gov/issue/physician-knowledge-attitudes-and-behavior-related-reporting-adverse-drug-events

September 23, 2020 - Study Classic Physician knowledge, attitudes, and behavior related to reporting adverse drug events. Citation Text: Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 201…

Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. | PSNet

psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer

January 23, 2019 - Study Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. Citation Text: Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician

October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

Variability in the measurement of hospital-wide mortality rates. | PSNet

psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates

July 01, 2016 - Study Classic Variability in the measurement of hospital-wide mortality rates. Citation Text: Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …

Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. | PSNet

psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three

February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. Citation Text: Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center…

Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. | PSNet

psnet.ahrq.gov/issue/microbiological-evaluation-two-hand-hygiene-procedures-achieved-healthcare-workers-during

June 13, 2011 - Study Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. Citation Text: Kac G, Podglajen I, Gueneret M, et al. Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers…

Measuring and managing quality of surgery. Statistical vs incidental approaches. | PSNet

psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches

August 04, 2021 - Commentary Classic Measuring and managing quality of surgery. Statistical vs incidental approaches. Citation Text: McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):7…

Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos

November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

Medication safety in neonatal care: a review of medication errors among neonates. | PSNet

psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates

August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet

psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments

October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention

March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia

June 07, 2023 - Study Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. Citation Text: Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…

Search AHRQ

Results