AHRQ Search | Home Page

Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. | PSNet

psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent

July 15, 2009 - Commentary Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. Citation Text: Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…

Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. | PSNet

psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci

April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…

Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet

psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports

April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …

Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. | PSNet

psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient

February 03, 2011 - Commentary Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. Citation Text: Staveski S, Leong K, Graham K, et al. Nursing Mortality and Morbidity and Journal Club Cycles. AACN Adv Crit Care. 2012;2…

Using simulation to address hierarchy issues during medical crises. | PSNet

psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises

June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…

A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. | PSNet

psnet.ahrq.gov/issue/multicenter-multidisciplinary-high-alert-medication-collaborative-improve-patient-safety

December 04, 2016 - Study A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Citation Text: Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…

Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients. | PSNet

psnet.ahrq.gov/issue/increases-mortality-length-stay-and-cost-associated-hospital-acquired-infections-trauma

December 21, 2014 - Study Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients. Citation Text: Glance LG, Stone PW, Mukamel DB, et al. Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients.…

I-PASS handover system: a decade of evidence demands action. | PSNet

psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action

July 07, 2021 - Commentary I-PASS handover system: a decade of evidence demands action. Citation Text: Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. Copy Citation Format: DOI Google Scholar BibTeX …

The content and context of change of shift report on medical and surgical units. | PSNet

psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units

September 24, 2016 - Study The content and context of change of shift report on medical and surgical units. Citation Text: Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a. Copy Citatio…

Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care

February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

Implementation of a modified bedside handoff for a postpartum unit. | PSNet

psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit

November 16, 2022 - Commentary Implementation of a modified bedside handoff for a postpartum unit. Citation Text: Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. Copy Cit…

Complexity and safety. | PSNet

psnet.ahrq.gov/issue/complexity-and-safety

February 01, 2012 - Commentary Complexity and safety. Citation Text: Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet

psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues

January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

Close calls in patient safety: should we be paying closer attention? | PSNet

psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention

November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

Interventions for postsurgical opioid prescribing: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review

October 03, 2012 - Review Emerging Classic Interventions for postsurgical opioid prescribing: a systematic review. Citation Text: Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. Copy Cit…

Diagnostic decision-making in the emergency department. | PSNet

psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department

December 16, 2020 - Review Diagnostic decision-making in the emergency department. Citation Text: Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003. Copy Citation Format: DOI …

The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. | PSNet

psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high

October 03, 2011 - Review The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. Citation Text: Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…

Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer

March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…

Will human factors restore faith in the GMC? | PSNet

psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc

January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies

November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. Citation Text: Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4. Copy Citation …

Search AHRQ

Results