AHRQ Search | Home Page

Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit

September 29, 2010 - Study Sensemaking, safety, and cooperative work in the intensive care unit. Citation Text: Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. Copy Citation Format:…

Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet

psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and

December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…

A review of verbal order policies in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals

January 03, 2017 - Study A review of verbal order policies in acute care hospitals. Citation Text: Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. Copy Citation Format: Google Scholar PubMed…

In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. | PSNet

psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states

December 12, 2012 - Study In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. Citation Text: Hill A-M, Jacques A, Chandler M, et al. In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States. Jt Comm J…

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative

August 17, 2018 - Review Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Citation Text: Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Inter…

A framework for health care organizations to develop and evaluate a safety scorecard. | PSNet

psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard

September 17, 2010 - Commentary A framework for health care organizations to develop and evaluate a safety scorecard. Citation Text: Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007;298(17):2063-5. Copy Citation F…

A case of adverse drug reaction induced by dispensing error. | PSNet

psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error

August 17, 2022 - Commentary A case of adverse drug reaction induced by dispensing error. Citation Text: Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026. Copy Citation Format…

A new infusion syringe label system designed to reduce task complexity during drug preparation. | PSNet

psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation

February 13, 2019 - Study A new infusion syringe label system designed to reduce task complexity during drug preparation. Citation Text: Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…

Using the patient safety huddle as a tool for high reliability. | PSNet

psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability

March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/role-parents-promotion-hand-hygiene-paediatric-setting-systematic-literature-review

January 27, 2021 - Review Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. Citation Text: Bellissimo-Rodrigues F, Pires D, Zingg W, et al. Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. J…

Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. | PSNet

psnet.ahrq.gov/issue/influence-perceived-difficulty-cases-student-osteopaths-diagnostic-reasoning-cross-sectional

February 03, 2011 - Study Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. Citation Text: Noyer AL, Esteves JE, Thomson OP. Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study. Chiropr…

Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet

psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion

September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …

The occurrence of potential patient safety events among trauma patients: are they random? | PSNet

psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random

July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet

psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture

October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and

August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Citation Text: Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 201…

Impact of time pressure on dentists' diagnostic performance. | PSNet

psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance

November 16, 2022 - Study Impact of time pressure on dentists' diagnostic performance. Citation Text: Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011. Copy Citation Format: DOI Google Scho…

Why it is so hard to talk about overuse in pediatrics and why it matters. | PSNet

psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters

March 04, 2020 - Commentary Why it is so hard to talk about overuse in pediatrics and why it matters. Citation Text: Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. Copy Citatio…

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college

May 26, 2016 - Review The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surg…

Developing a patient safety surveillance system to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit

February 19, 2014 - Review Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Citation Text: Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl)…

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…

Search AHRQ

Results