-
psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
December 19, 2009 - Study
Adverse drug events caused by serious medication administration errors.
Citation Text:
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
Copy Citation
…
-
psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
April 24, 2018 - Review
Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs.
Citation Text:
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…
-
psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
June 19, 2024 - Study
Using patient safety reporting systems to understand the clinical learning environment: a content analysis.
Citation Text:
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ.…
-
psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures
August 15, 2018 - Study
Defining optimal length of opioid pain medication prescription after common surgical procedures.
Citation Text:
Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. d…
-
psnet.ahrq.gov/issue/enhanced-end-life-care-associated-deploying-rapid-response-team-pilot-study
December 24, 2008 - Study
Enhanced end-of-life care associated with deploying a rapid response team: a pilot study.
Citation Text:
Vazquez R, Gheorghe C, Grigoriyan A, et al. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med. 2009;4(7):449-52. doi:10.1002…
-
psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
August 30, 2017 - Review
The cost of opioid–related adverse drug events.
Citation Text:
Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
September 23, 2020 - Study
Wrong-patient orders in obstetrics.
Citation Text:
Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474.
Copy Citation
Format:
DOI Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis
March 23, 2012 - Study
Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries.
Citation Text:
Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…
-
www.ahrq.gov/news/newsroom/case-studies/201520.html
July 01, 2015 - Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS®
Search All Impact Case Studies
July 2015
Amery Hospital & Clinic, a 25-bed acute care critical access hospital in rural Wisconsin, used AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site in…
-
psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - Study
Classic
Should operations be regionalized? The empirical relation between surgical volume and mortality.
Citation Text:
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…
-
psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Study
Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation Text:
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …
-
psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
-
psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Study
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?
Citation Text:
Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-1…
-
psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality
November 29, 2023 - Study
Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates.
Citation Text:
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):4…
-
psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
February 22, 2019 - Study
A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Citation Text:
Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …
-
psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review
December 15, 2014 - Review
The nature of the response to airway management incident reports in high income countries: a scoping review.
Citation Text:
Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…
-
psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach
August 26, 2020 - Commentary
Improving nursing home safety through adoption of a practical resilient health care approach.
Citation Text:
Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…
-
psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
June 21, 2016 - Study
Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study.
Citation Text:
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…
-
psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Study
"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.
Citation Text:
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…
-
psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
March 25, 2015 - Review
Human factors and ergonomics as a patient safety practice.
Citation Text:
Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812.
Copy Citation
Format:
DOI Google Schol…