AHRQ Search | Home Page

Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. | PSNet

psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats

April 14, 2021 - Study Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Citation Text: Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet

psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors

October 28, 2020 - Study Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Citation Text: Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…

Identifying opportunities for quality improvement in surgical site infection prevention. | PSNet

psnet.ahrq.gov/issue/identifying-opportunities-quality-improvement-surgical-site-infection-prevention

June 14, 2017 - Study Identifying opportunities for quality improvement in surgical site infection prevention. Citation Text: Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical site infection prevention. Am J Infect Control. 2009;37(5):398-402.…

Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. | PSNet

psnet.ahrq.gov/issue/factors-influencing-nurses-decision-question-medication-administration-neonatal-clinical-care

April 21, 2021 - Study Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. Citation Text: Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nur…

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill

July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…

The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. | PSNet

psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia

January 11, 2023 - Study The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. Citation Text: Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…

The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet

psnet.ahrq.gov/issue/association-nursing-home-characteristics-and-quality-adverse-events-after-hospitalization

August 07, 2019 - Study The association of nursing home characteristics and quality with adverse events after a hospitalization. Citation Text: Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Asso…

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet

psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical

May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance

May 07, 2014 - Study Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. Citation Text: Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …

Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. | PSNet

psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations

January 19, 2022 - Study Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Citation Text: Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Drugs …

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. | PSNet

psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency

August 31, 2022 - Study System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Citation Text: Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…

Ethical issues in patient safety research: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature

April 21, 2021 - Review Ethical issues in patient safety research: a systematic review of the literature. Citation Text: Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…

Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet

psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause

June 22, 2022 - Study Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…

Electronic health record adoption and rates of in-hospital adverse events. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-adoption-and-rates-hospital-adverse-events

August 02, 2023 - Study Electronic health record adoption and rates of in-hospital adverse events. Citation Text: Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. Copy C…

Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution

August 04, 2021 - Commentary Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Citation Text: Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…

New persistent opioid use after minor and major surgical procedures in US adults. | PSNet

psnet.ahrq.gov/issue/new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults

April 18, 2019 - Study Classic New persistent opioid use after minor and major surgical procedures in US adults. Citation Text: Brummett CM, Waljee JF, Goesling J, et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017;152(6):e17…

Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet

psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers

August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses

December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. | PSNet

psnet.ahrq.gov/issue/role-informal-and-formal-organisation-voice-about-concerns-healthcare-qualitative-interview

September 29, 2021 - Study The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. Citation Text: Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative inter…

How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. | PSNet

psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies

March 18, 2020 - Study How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. Citation Text: Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative ri…

Search AHRQ

Results