AHRQ Search | Home Page

Economic evaluation of the impact of medication errors reported by US clinical pharmacists. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-impact-medication-errors-reported-us-clinical-pharmacists

February 02, 2011 - Study Economic evaluation of the impact of medication errors reported by US clinical pharmacists. Citation Text: Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:…

A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet

psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its

March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Citation Text: Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …

Preventing Medication Errors: Quality Chasm Series. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series

January 04, 2009 - Book/Report Classic Preventing Medication Errors: Quality Chasm Series. Citation Text: Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …

The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation

April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

Building a Better Delivery System: A New Engineering/Health Care Partnership. | PSNet

psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership

September 12, 2018 - Book/Report Building a Better Delivery System: A New Engineering/Health Care Partnership. Citation Text: Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. | PSNet

psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal

February 10, 2015 - Study Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. Citation Text: Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…

Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital

June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…

Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. | PSNet

psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda

July 05, 2017 - Study Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. Citation Text: Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…

Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. | PSNet

psnet.ahrq.gov/issue/evaluation-and-accurate-diagnoses-pediatric-diseases-using-artificial-intelligence

April 15, 2020 - Study Classic Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Citation Text: Liang H, Tsui BY, Ni H, et al. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Nat Med. 2019;25(3):433-438.…

The foundational science of learning health systems. | PSNet

psnet.ahrq.gov/issue/foundational-science-learning-health-systems

June 26, 2019 - Commentary The foundational science of learning health systems. Citation Text: Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. Copy Citation Format: DOI Google …

Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. | PSNet

psnet.ahrq.gov/issue/epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers

December 16, 2020 - Study Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Citation Text: Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:1…

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative

August 17, 2022 - Review Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. Citation Text: Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…

Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. | PSNet

psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care

August 21, 2024 - Organizational Policy/Guidelines Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Citation Text: Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. | PSNet

psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome

August 02, 2023 - Commentary A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Citation Text: Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…

Making Healthcare Safer III. | PSNet

psnet.ahrq.gov/issue/making-healthcare-safer-iii

March 27, 2019 - Book/Report Making Healthcare Safer III. Citation Text: Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. Copy Citation Save Save to your library…

The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. | PSNet

psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive

November 21, 2021 - Study The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. Citation Text: Inokuchi R, Sato H, Nanjo Y, et al. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in…

Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet

psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative

July 30, 2014 - Commentary Understanding psychological safety in health care and education organizations: a comparative perspective. Citation Text: Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…

Implementing standardized reporting and safety checklists. | PSNet

psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists

September 29, 2017 - Study Implementing standardized reporting and safety checklists. Citation Text: Stevens JD, Bader MK, Luna MA, et al. Cultivating quality: implementing standardized reporting and safety checklists. Am J Nurs. 2011;111(5):48-53. doi:10.1097/01.naj.0000398051.07923.69. Copy Citation …

Implementing SBAR across a large multihospital health system. | PSNet

psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system

November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

Potential uses of AI for perioperative nursing handoffs: a qualitative study. | PSNet

psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study

September 01, 2021 - Study Potential uses of AI for perioperative nursing handoffs: a qualitative study. Citation Text: King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. Copy Citation …

Search AHRQ

Results