-
psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta
September 06, 2017 - Review
Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis.
Citation Text:
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. JAMA Netw …
-
psnet.ahrq.gov/issue/strategies-facilitate-delivery-exceptionally-good-patient-care-general-practice-qualitative
February 24, 2021 - Study
Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals.
Citation Text:
O’Malley R, O’Connor P, Lydon S. Strategies that facilitate the delivery of exceptionally good patient ca…
-
psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
May 30, 2018 - Study
More than 1 million potential second victims: how many could nursing education prevent?
Citation Text:
Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437.
Cop…
-
psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement
October 13, 2018 - Study
Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis.
Citation Text:
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…
-
psnet.ahrq.gov/issue/impact-burnout-paediatric-nurses-attitudes-about-patient-safety-acute-hospital-setting
June 05, 2019 - Review
The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review.
Citation Text:
Flynn C, Watson C, Patton D, et al. The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setti…
-
psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
October 27, 2021 - Study
Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.
Citation Text:
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random variation in organisational performa…
-
psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
January 23, 2017 - Review
Digital health intervention on patient safety for children and parents: a scoping review.
Citation Text:
Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954.
Co…
-
psnet.ahrq.gov/issue/improving-hospital-infant-safe-sleep-compliance-using-safety-prevention-bundle-methodology
March 09, 2022 - Study
Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.
Citation Text:
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. d…
-
psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
September 14, 2022 - Study
Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms.
Citation Text:
Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…
-
psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical
May 18, 2022 - Study
Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial.
Citation Text:
White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open.…
-
psnet.ahrq.gov/issue/better-medical-office-safety-culture-not-associated-better-scores-quality-measures
April 12, 2011 - Study
Better medical office safety culture is not associated with better scores on quality measures.
Citation Text:
Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf. 2012;8(1):15-2…
-
psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features
July 03, 2014 - Study
Why do doctors make mistakes? A study of the role of salient distracting clinical features.
Citation Text:
Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.10…
-
www.ahrq.gov/news/newsroom/case-studies/201601.html
January 01, 2018 - North Carolina’s CaroMont Regional Medical Center Uses AHRQ Toolkit to Reduce Urinary Infections
Search All Impact Case Studies
March 2016
CaroMont Regional Medical Center (CRMC), a 435-bed, not-for-profit hospital in Gastonia, North Carolina, significantly reduced catheter-associated urinary tract infectio…
-
psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
January 16, 2013 - Study
Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…
-
psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
November 12, 2014 - Study
Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.
Citation Text:
Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…
-
psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
July 21, 2021 - Study
Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.
Citation Text:
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…
-
psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - Study
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Citation Text:
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…
-
psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - Study
Using safety culture results to guide the merger of four general practices in the UK.
Citation Text:
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…
-
psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records
November 11, 2020 - Commentary
Challenges in patient safety improvement research in the era of electronic health records.
Citation Text:
Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…
-
psnet.ahrq.gov/issue/electronic-health-record-alert-related-workload-predictor-burnout-primary-care-providers
November 11, 2020 - Study
Electronic health record alert–related workload as a predictor of burnout in primary care providers.
Citation Text:
Gregory ME, Russo E, Singh H. Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers. Appl Clin Inform. 2017;8(3):686-697…