AHRQ Search | Home Page

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet

psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format

July 22, 2020 - Study Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. Citation Text: Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conf…

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus

October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet

psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between

October 09, 2024 - Study How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? Citation Text: Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…

Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. | PSNet

psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across

January 31, 2024 - Study Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. Citation Text: McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet

psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication

August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet

psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Citation Text: Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…

WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. | PSNet

psnet.ahrq.gov/issue/who-research-agenda-role-institutional-safety-climate-hand-hygiene-improvement-delphi

February 01, 2011 - Study WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study. Citation Text: Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for hand hygiene improvement…

The Research on Adverse Drug Events and Reports (RADAR) project. | PSNet

psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project

October 19, 2022 - Study The Research on Adverse Drug Events and Reports (RADAR) project. Citation Text: Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. Copy Citation Format: Google Scholar PubMed BibTeX En…

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication

March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

Effect of digital tools to promote hospital quality and safety on adverse events after discharge. | PSNet

psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge

October 16, 2024 - Study Effect of digital tools to promote hospital quality and safety on adverse events after discharge. Citation Text: Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific

April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error

December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

Application of patient safety indicators internationally: a pilot study among seven countries. | PSNet

psnet.ahrq.gov/issue/application-patient-safety-indicators-internationally-pilot-study-among-seven-countries

November 15, 2017 - Study Application of patient safety indicators internationally: a pilot study among seven countries. Citation Text: Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot study among seven countries. Int J Qual Health Care. 2009;21(…

Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. | PSNet

psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial

September 11, 2024 - Study Classic Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. Citation Text: Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet

psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating

October 23, 2019 - Study Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. Citation Text: Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…

Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication

April 10, 2024 - Review Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. Citation Text: Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medi…

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster

December 15, 2021 - Study Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. Citation Text: Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster…

When disasters strike the emergency department: a case series and narrative review. | PSNet

psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review

September 30, 2020 - Commentary When disasters strike the emergency department: a case series and narrative review. Citation Text: Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. | PSNet

psnet.ahrq.gov/issue/assessing-controlled-substance-prescribing-errors-pediatric-teaching-hospital-analysis-safety

August 02, 2010 - Study Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. Citation Text: Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study

April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

Search AHRQ

Results