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  1. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet

    psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
    July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

  2. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
    December 14, 2022 - Review A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…

  3. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0262_05-11-2007.pdf
    January 01, 2007 - Effective Health Care Topic Number(s): 0111 Document Completion Date: 5-19-09 1 Results of Topic Selection Process & Next Steps  Urinary incontinence will go forward for refinement as an update to or expansion of an existing comparative effectiveness or effectiveness review. The scope of thi…

  4. 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: …

  5. The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
    May 15, 2013 - Review The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Citation Text: van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …

  6. Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. | PSNet

    psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
    November 16, 2022 - Commentary Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Citation Text: Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…

  7. Analyzing diagnostic errors in the acute setting: a process-driven approach. | PSNet

    psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
    December 07, 2022 - Study Analyzing diagnostic errors in the acute setting: a process-driven approach. Citation Text: Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. Copy Citatio…

  8. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

    psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
    September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

  9. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/programs/index.html?page=1
    Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More CAHPS The CAHPS program aims to advance our scientific …

  10. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-patients-pharmacist-key-resources-and-relationship
    June 07, 2023 - Study Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. Citation Text: Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medici…

  11. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

    psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
    January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

  12. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0193_08-12-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0184-0193 Document Completion Date: 2-23-10 1 Results of Topic Selection Process & Next Steps  Interventions to improve prescription medication adherence will be considered for refinement as an umbrella review of systematic reviews to outline current evi…

  13. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
    March 24, 2021 - Study Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. Citation Text: Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…

  14. Patient complaints in healthcare systems: a systematic review and coding taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy
    November 29, 2023 - Review Patient complaints in healthcare systems: a systematic review and coding taxonomy. Citation Text: Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437. …

  15. Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. | PSNet

    psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
    July 03, 2014 - Study Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Citation Text: Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…

  16. Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. | PSNet

    psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national
    November 01, 2023 - Study Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. Citation Text: O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…

  17. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

    psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
    February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

  18. K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H. | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
    June 01, 2016 - K Award Grantee Interview: Christopher Landrigan, M.D., M.P.H. Transcript The following is a transcript of grantee responses to the following questions: What is the primary focus of your research? How has funding from AHRQ helped to advance your research? Why did you choose to focus on this topic? …

  19. How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

    psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
    December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

  20. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. | PSNet

    psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital
    September 26, 2012 - Study Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. Citation Text: Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…
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