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psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
February 22, 2017 - Review
The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.
Citation Text:
Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…
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psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
June 01, 2022 - Study
Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.
Citation Text:
Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…
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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - Study
Analysis and prioritization of near-miss adverse events in a radiology department.
Citation Text:
Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…
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psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices
November 14, 2011 - Book/Report
The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT.
Citation Text:
The Feasibility of Dete…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
November 30, 2012 - Study
Classic
Missed diagnoses of acute cardiac ischemia in the emergency department.
Citation Text:
Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
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psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
January 02, 2017 - Study
Changing conversations: teaching safety and quality in residency training.
Citation Text:
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
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psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
April 24, 2018 - Commentary
Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses.
Citation Text:
Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …
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psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - Study
Significant and sustained reduction in chemotherapy errors through improvement science.
Citation Text:
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…
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psnet.ahrq.gov/issue/duty-hour-limits-and-patient-care-and-resident-outcomes-can-high-quality-studies-offer
July 10, 2017 - Review
Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?
Citation Text:
Philibert I, Nasca TJ, Brigham T, et al. Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into…
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psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
July 15, 2020 - Book/Report
The threat within: mitigating the risk of medical error.
Citation Text:
Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3.
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psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
August 04, 2021 - Study
Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study.
Citation Text:
Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - Study
Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.
Citation Text:
Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(…
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psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
August 12, 2015 - Study
Institutional disclosure: promise and problems.
Citation Text:
Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132.
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psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-tool
May 27, 2011 - Study
Can social media be used as a hospital quality improvement tool?
Citation Text:
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders
February 17, 2011 - Study
Potentially inappropriate medication use in hospitalized elders.
Citation Text:
Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290.
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psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
July 06, 2011 - Study
Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams.
Citation Text:
Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…
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psnet.ahrq.gov/issue/point-care-cognitive-support-technology-emergency-departments-scoping-review-technology
August 03, 2022 - Review
Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians.
Citation Text:
Jun S, Plint AC, Campbell SM, et al. Point-of-care Cognitive Support Technology in Emergency Departments: A Scoping Review of Technology Acc…
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psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
September 29, 2017 - Study
Patients' and family members' experiences of open disclosure following adverse events.
Citation Text:
Iedema R, Sorensen R, Manias E, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care. 2008;20(6):421-32. doi:10.1093…
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psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
September 21, 2022 - Study
Hospital patient safety grades may misrepresent hospital performance.
Citation Text:
Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139.
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psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
April 12, 2019 - Commentary
1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs).
Citation Text:
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018…