AHRQ Search | Home Page

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. | PSNet

psnet.ahrq.gov/issue/detecting-adverse-events-surgery-comparing-events-detected-veterans-health-administration

June 20, 2011 - Study Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. Citation Text: Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events …

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives

April 13, 2011 - Study Classic Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. Citation Text: Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…

Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. | PSNet

psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety

May 05, 2021 - Study Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. Citation Text: Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Z…

Prevalence and nature of adverse medical device events in hospitalized children. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children

October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. | PSNet

psnet.ahrq.gov/issue/systematically-improving-physician-assignment-during-hospital-transitions-care-enhancing

March 14, 2022 - Study Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. Citation Text: Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-hospital transiti…

Safety II behavior in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit

January 12, 2022 - Study Safety II behavior in a pediatric intensive care unit. Citation Text: Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. Copy Citation Format: DOI Google Scholar …

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. | PSNet

psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting-strategies-improve

June 08, 2011 - Special or Theme Issue Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Citation Text: Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Shekelle PG, Pronovost…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic

February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? | PSNet

psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care

March 20, 2019 - Commentary Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? Citation Text: Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…

Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. | PSNet

psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based

March 21, 2012 - Study Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. Citation Text: Lin DM, Carson KA, Lubomski LH, et al. Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety P…

Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric

September 01, 2016 - Study Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. Citation Text: Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication …

Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. | PSNet

psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members

January 28, 2010 - Study Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. Citation Text: Evans S, Murray A, Patrick I, et al. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. Qual Saf Health Care. 2010;1…

Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. | PSNet

psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care

August 12, 2019 - Study Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. Citation Text: Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwif…

Improving physician's hand over among oncology staff using standardized communication tool. | PSNet

psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool

November 11, 2020 - Commentary Improving physician's hand over among oncology staff using standardized communication tool. Citation Text: Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1…

Toward learning from patient safety reporting systems. | PSNet

psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems

January 02, 2017 - Study Toward learning from patient safety reporting systems. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. | PSNet

psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery

March 20, 2024 - Review Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. Citation Text: Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10…

Nursing turbulence in critical care: relationships with nursing workload and patient safety. | PSNet

psnet.ahrq.gov/issue/nursing-turbulence-critical-care-relationships-nursing-workload-and-patient-safety

October 19, 2022 - Study Nursing turbulence in critical care: relationships with nursing workload and patient safety. Citation Text: Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.…

Wrong-patient orders in obstetrics. | PSNet

psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics

September 23, 2020 - Study Wrong-patient orders in obstetrics. Citation Text: Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474. Copy Citation Format: DOI Google Scholar BibTeX EndN…

SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post

November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…

Improving nursing home safety through adoption of a practical resilient health care approach. | PSNet

psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach

August 26, 2020 - Commentary Improving nursing home safety through adoption of a practical resilient health care approach. Citation Text: Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…

Search AHRQ

Results