AHRQ Search | Home Page

To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. | PSNet

psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english

November 02, 2022 - Study To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study. Citation Text: Garfield S, Teo V, Chan L, et al. To what extent is the World Health Organization's Medication Safety Challenge being…

Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. | PSNet

psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores

September 29, 2017 - Study Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. Citation Text: Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes…

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and

February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet

psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and

September 02, 2020 - Study Registration-associated patient misidentification in an academic medical center: causes and corrections. Citation Text: Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. | PSNet

psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased

April 06, 2022 - Study Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. Citation Text: Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased…

Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet

psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case

December 19, 2014 - Study Applying the high reliability health care maturity model to assess hospital performance: a VA case study. Citation Text: Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …

Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department

September 22, 2017 - Study Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. Citation Text: Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…

Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/evaluation-natural-language-processing-approach-identify-diagnostic-errors-and-analysis

October 30, 2024 - Study Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. Citation Text: Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…

Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. | PSNet

psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

April 13, 2022 - Study Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. Citation Text: de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. | PSNet

psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing

November 10, 2021 - Study Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Citation Text: Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event

July 22, 2020 - Commentary Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. Citation Text: Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a pharmacy department’s approach to a…

Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times

June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital

November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. | PSNet

psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery

June 21, 2023 - EMERGING INNOVATIONS A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. Citation Text: Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery oly…

Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. | PSNet

psnet.ahrq.gov/issue/near-miss-and-maternal-sepsis-mortality-qualitative-study-survivors-and-support-persons

October 11, 2023 - Study Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Citation Text: Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…

Frequency and outcome of cervical cancer prevention failures in the United States. | PSNet

psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states

April 09, 2013 - Study Frequency and outcome of cervical cancer prevention failures in the United States. Citation Text: Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in the United States. Am J Clin Pathol. 2007;128(5):817-24. Copy Citation F…

Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. | PSNet

psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time

May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…

Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet

psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals

January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…

Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. | PSNet

psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident

February 17, 2009 - Study Classic Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. Citation Text: Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055. Copy…

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. | PSNet

psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver

September 14, 2022 - Study Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. Citation Text: Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…

Search AHRQ

Results