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psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point
August 02, 2011 - Study
Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert.
Citation Text:
Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot st…
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psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
February 10, 2015 - Commentary
What is driving hospitals' patient-safety efforts?
Citation Text:
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15.
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psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
June 13, 2015 - Study
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Citation Text:
Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…
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psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - Commentary
Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school.
Citation Text:
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…
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psnet.ahrq.gov/issue/relationship-between-performance-measurement-and-accreditation-implications-quality-care-and
March 13, 2013 - Study
Relationship between performance measurement and accreditation: implications for quality of care and patient safety.
Citation Text:
Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and pati…
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psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
December 14, 2016 - Review
Do calculation errors by nurses cause medication errors in clinical practice? A literature review.
Citation Text:
Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2…
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Study
Factors influencing incident reporting in surgical care.
Citation Text:
Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534.
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psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
September 23, 2020 - Study
Resident participation does not affect surgical outcomes, despite introduction of new techniques.
Citation Text:
Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…
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psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room-retrospective
July 05, 2023 - Study
Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study.
Citation Text:
Amici LD, van Pelt M, Mylott L, et al. Clinical decision support as a prevention tool for medication errors in the operating room: a ret…
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psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
September 02, 2015 - Study
Anesthesia Risk Alert program: a proactive safety initiative.
Citation Text:
Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005.
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psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
December 29, 2014 - Study
Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety.
Citation Text:
Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…
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psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals
January 29, 2014 - Study
Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals.
Citation Text:
Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…
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psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
June 07, 2023 - Study
Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.
Citation Text:
Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…
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psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
November 17, 2021 - Study
The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.
Citation Text:
Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…
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psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-error-rates-adult-medical
July 23, 2010 - Study
Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit.
Citation Text:
DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical inte…
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psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
September 04, 2016 - Study
Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…
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psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries
January 21, 2015 - Study
The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care.
Citation Text:
Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…
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psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients
July 15, 2014 - Study
The association between sepsis and potential medical injury among hospitalized patients.
Citation Text:
Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. …
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psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
February 01, 2012 - Study
Classic
The problems of detecting medication errors in hospitals.
Citation Text:
Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360.
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psnet.ahrq.gov/issue/analysis-overridden-alerts-drug-drug-interaction-detection-system
June 30, 2011 - Study
Analysis of overridden alerts in a drug–drug interaction detection system.
Citation Text:
Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038.
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