AHRQ Search | Home Page

Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions. | PSNet

psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based

January 21, 2015 - Study Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions. Citation Text: Sujan M-A, Ingram C, McConkey T, et al. Hassle in the dispensary: pilot study of a proactive risk monitoring tool for or…

Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. | PSNet

psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration

December 22, 2018 - Study Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. Citation Text: Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentra…

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic

November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and

May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

Language discordance and patient care-Babel. | PSNet

psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel

October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient

April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

Using system analysis to build a safety culture: improving the reliability of epidural analgesia. | PSNet

psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia

January 14, 2009 - Study Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Citation Text: Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…

A preliminary taxonomy of medical errors in family practice. | PSNet

psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice

April 08, 2011 - Study Classic A preliminary taxonomy of medical errors in family practice. Citation Text: Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. Copy Citation Format: …

Identification by families of pediatric adverse events and near misses overlooked by health care providers. | PSNet

psnet.ahrq.gov/issue/identification-families-pediatric-adverse-events-and-near-misses-overlooked-health-care

November 23, 2016 - Study Identification by families of pediatric adverse events and near misses overlooked by health care providers. Citation Text: Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…

Multi-professional patterns and methods of communication during patient handoffs. | PSNet

psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs

January 30, 2019 - Study Multi-professional patterns and methods of communication during patient handoffs. Citation Text: Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…

Evaluation of an anonymous system to report medical errors in pediatric inpatients. | PSNet

psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients

April 30, 2014 - Study Evaluation of an anonymous system to report medical errors in pediatric inpatients. Citation Text: Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. Copy Citation Forma…

Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions

June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

Postoperative handover: problems, pitfalls, and prevention of error. | PSNet

psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error

September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. Citation Text: Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. Copy Citation …

Diagnostic heuristics in dermatology—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2

June 24, 2010 - Review Diagnostic heuristics in dermatology—part 1 and part 2. Citation Text: Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932. Copy Citation Format: DOI Google Schola…

"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. | PSNet

psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor

February 16, 2011 - Study "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. Citation Text: Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…

Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet

psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory

April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. Citation Text: Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…

Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. | PSNet

psnet.ahrq.gov/issue/frequency-comprehension-and-attitudes-physicians-towards-abbreviations-medical-record

October 14, 2011 - Study Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. Citation Text: Hamiel U, Hecht I, Nemet A, et al. Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. Postgrad Med J. 2018;94(1111):254-25…

Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting

July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

Quality and strength of patient safety climate on medical–surgical units. | PSNet

psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units

February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…

Informatics opportunities: the intersection of patient safety and clinical informatics. | PSNet

psnet.ahrq.gov/issue/informatics-opportunities-intersection-patient-safety-and-clinical-informatics

May 27, 2011 - Commentary Informatics opportunities: the intersection of patient safety and clinical informatics. Citation Text: Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.119…

Search AHRQ

Results