AHRQ Search | Home Page

Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. | PSNet

psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach

September 28, 2016 - Commentary Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Citation Text: McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…

Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. | PSNet

psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital

April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …

An adverse event screening tool based on routinely collected hospital-acquired diagnoses. | PSNet

psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses

July 23, 2008 - Study An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Citation Text: Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…

Managing alarm systems for quality and safety in the hospital setting. | PSNet

psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting

August 13, 2014 - Review Managing alarm systems for quality and safety in the hospital setting. Citation Text: Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. Copy Citation Format: …

"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. | PSNet

psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role

August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical

April 06, 2011 - Study Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. Citation Text: Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…

The incorporation of patient safety into board certification examinations. | PSNet

psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-examinations

October 26, 2010 - Commentary The incorporation of patient safety into board certification examinations. Citation Text: Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25. Copy Citation Format: Goog…

The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. | PSNet

psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices

November 14, 2011 - Book/Report The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. Citation Text: The Feasibility of Dete…

Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors

January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. | PSNet

psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized

December 11, 2024 - Commentary Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Citation Text: Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…

Adverse events and near miss reporting in the NHS. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs

August 30, 2023 - Study Adverse events and near miss reporting in the NHS. Citation Text: Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. | PSNet

psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

September 11, 2024 - Study The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. Citation Text: Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…

An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. | PSNet

psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety

May 08, 2013 - Study An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. Citation Text: Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…

Patient safety in an interprofessional learning environment. | PSNet

psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment

May 30, 2008 - Commentary Patient safety in an interprofessional learning environment. Citation Text: Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet

psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths

March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

Teaching medical error apologies: development of a multi-component intervention. | PSNet

psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention

August 04, 2021 - Study Teaching medical error apologies: development of a multi-component intervention. Citation Text: Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6. Copy Citation Format: …

Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness | PSNet

psnet.ahrq.gov/issue/effect-sedation-weaning-protocol-safety-and-medication-use-among-hospitalized-children-post

August 04, 2021 - Journal Article Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness Citation Text: Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children P…

Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet

psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist

September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

Health literacy, medication errors, and health outcomes: is there a relationship? | PSNet

psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship

January 02, 2008 - Review Health literacy, medication errors, and health outcomes: is there a relationship? Citation Text: Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. Copy Cita…

Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system

April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

Search AHRQ

Results