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  1. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-nurses-decision-question-medication-administration-neonatal-clinical-care
    April 21, 2021 - Study Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. Citation Text: Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nur…

  2. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/closer-look-associations-between-hospital-leadership-walkrounds-and-patient-safety-climate
    December 31, 2012 - Study A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. Citation Text: Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership walkrounds and patient sa…

  3. Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. | PSNet

    psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
    April 24, 2019 - Study Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. Citation Text: Brown A, Nidumolu A, Stanhope A, et al. Can first-y…

  4. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. | PSNet

    psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
    January 15, 2014 - Study Effectiveness of written hospitalist sign-outs in answering overnight inquiries. Citation Text: Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. C…

  5. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
    March 04, 2011 - Commentary Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Citation Text: Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…

  6. Intervention study for the reduction of medication errors in elderly trauma patients. | PSNet

    psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients
    December 18, 2019 - Study Intervention study for the reduction of medication errors in elderly trauma patients. Citation Text: Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(…

  7. 16-Engaging-Stakeholders-Pitch (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/16-engaging-stakeholders-pitch.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Developing an Elevator Pitch: A Tool for Building and Communicating a Vision for the Program What Is This Tool? Once your team has identified stakeholders for the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care a…

  8. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. | PSNet

    psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
    August 17, 2022 - Study Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. Citation Text: Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analys…

  9. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet

    psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
    August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

  10. Fatigue and safety in paramedicine. | PSNet

    psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
    December 16, 2020 - Study Fatigue and safety in paramedicine. Citation Text: Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765. doi:10.1017/cem.2019.380. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  11. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. | PSNet

    psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
    July 03, 2014 - Study Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. Citation Text: Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…

  12. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
    April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. Citation Text: Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative…

  13. Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet

    psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
    March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

  14. Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet

    psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
    October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

  15. Evaluation of outcomes from a national patient-initiated second-opinion program. | PSNet

    psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
    July 15, 2015 - Study Evaluation of outcomes from a national patient-initiated second-opinion program. Citation Text: Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. Copy Citation …

  16. Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
    March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. Citation Text: Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…

  17. Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. | PSNet

    psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
    November 21, 2018 - Study Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. Citation Text: de Vries C, Doggen C, Hilbers E, et al. Results of a survey among GP practices on how they manage patient safety aspects related t…

  18. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
    February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic review. Citation Text: Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…

  19. Assessing frequency and risk of weight entry errors in pediatrics. | PSNet

    psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
    December 21, 2018 - Study Assessing frequency and risk of weight entry errors in pediatrics. Citation Text: Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865. Copy Citation …

  20. Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. | PSNet

    psnet.ahrq.gov/issue/do-user-applied-safety-labels-medication-syringes-reduce-incidence-medication-errors-during
    February 28, 2024 - Review Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. Citation Text: Mikhail J, Grantham H, King L. Do User-Applied Safety Label…
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