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  1. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

    psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
    April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

  2. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix L. Intensive Care Unit Infographic Poster …

  3. Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
    November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive care unit. Citation Text: Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. Copy Cita…

  4. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
    March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

  5. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. | PSNet

    psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist
    July 15, 2010 - Study Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Citation Text: Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…

  6. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. | PSNet

    psnet.ahrq.gov/issue/point-prevalence-surgical-checklist-use-europe-relationship-hospital-mortality
    January 23, 2019 - Study Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Citation Text: Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093…

  7. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
    December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

  8. Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet

    psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
    December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

  9. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
    October 09, 2024 - Study What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? Citation Text: Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…

  10. Briefing and Debriefing Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - Briefing and Debriefing Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…

  11. Identification of in-hospital complications from claims data. Is it valid? | PSNet

    psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
    June 13, 2011 - Study Classic Identification of in-hospital complications from claims data. Is it valid? Citation Text: Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. Copy Cit…

  12. The incidence of opioid misuse among the surgical patients with persistent opioid use. | PSNet

    psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - Study The incidence of opioid misuse among the surgical patients with persistent opioid use. Citation Text: Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. Copy Ci…

  13. Tool: Briefing and Debriefing Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
    December 01, 2017 - Tool: Briefing and Debriefing Tool Briefing and Debriefing Tool Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010.1 Using National Healthcare S…

  14. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

    psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
    October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

  15. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. | PSNet

    psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
    February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …

  16. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. | PSNet

    psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion
    December 14, 2022 - Study Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. Citation Text: Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of …

  17. National Collaborative for Innovation in Quality Measurement--Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-2-tech-specs.pdf
    November 01, 2014 - National Collaborative for Innovation in Quality Measurement--Metabolic Monitoring for Children and Adolescents on Antipsychotics 1 National Collaborative for Innovation in Quality Measurement Metabolic Monitoring for Children and Adolescents on Antipsychotics Administrative Specification for Sta…

  18. Factors contributing to Registered Nurse medication administration error: a narrative review. | PSNet

    psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
    May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…

  19. Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction …

  20. Housestaff and medical student attitudes toward medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/housestaff-and-medical-student-attitudes-toward-medical-errors-and-adverse-events
    March 06, 2013 - Study Housestaff and medical student attitudes toward medical errors and adverse events. Citation Text: Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. Copy Cita…
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