AHRQ Search | Home Page

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety

January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

AHRQ patient safety project reduces bloodstream infections by 40 percent. | PSNet

psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent

January 22, 2020 - Newspaper/Magazine Article AHRQ patient safety project reduces bloodstream infections by 40 percent. Citation Text: AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012. Copy Citation Save …

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. | PSNet

psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward

November 14, 2018 - Study Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. Citation Text: Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…

Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. | PSNet

psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident

September 11, 2024 - Review Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. Citation Text: Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident re…

Patient-clinician diagnostic concordance upon hospital admission. | PSNet

psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission

October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. Copy Citation Format: …

Effect of point-of-care computer reminders on physician behaviour: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review

September 02, 2009 - Review Classic Effect of point-of-care computer reminders on physician behaviour: a systematic review. Citation Text: Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;1…

Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet

psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety

June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…

So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. | PSNet

psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff

April 28, 2021 - Study So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Citation Text: Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. | PSNet

psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england

November 16, 2022 - Study The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. Citation Text: Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in Englan…

Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. | PSNet

psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and

October 17, 2018 - Study Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. Citation Text: Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…

Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. | PSNet

psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance

May 19, 2018 - Study Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. Citation Text: Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measu…

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes

October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Medical errors during training: how do residents cope?: a descriptive study. | PSNet

psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study

October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical

November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Design and impact of a novel surgery-specific second victim peer support program. | PSNet

psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program

March 09, 2022 - Study Emerging Classic Design and impact of a novel surgery-specific second victim peer support program. Citation Text: El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet

psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content

May 19, 2021 - Commentary We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. Citation Text: Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for…

Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. | PSNet

psnet.ahrq.gov/issue/sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation

June 15, 2016 - Study Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. Citation Text: Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in sit…

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. | PSNet

psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured

February 12, 2020 - Review Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. Citation Text: Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their …

Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. | PSNet

psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety

December 31, 2014 - Study Classic Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Citation Text: Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. | PSNet

psnet.ahrq.gov/issue/outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national-surveillance

March 10, 2021 - Study Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. Citation Text: Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin‐related adverse events due to mix‐up errors: Findings from two nation…

Search AHRQ

Results