AHRQ Search | Home Page

Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet

psnet.ahrq.gov/issue/assessment-unintentional-duplicate-orders-emergency-department-clinicians-and-after

October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during

December 23, 2020 - Commentary The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. Citation Text: Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…

Habit and automaticity in medical alert override: cohort study. | PSNet

psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-study

October 05, 2022 - Study Habit and automaticity in medical alert override: cohort study. Citation Text: Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. Copy Citation Format: DOI Google Sch…

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug

December 14, 2022 - Study Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…

Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. | PSNet

psnet.ahrq.gov/issue/effect-changes-hospital-nursing-resources-improvements-patient-safety-and-quality-care-panel

July 19, 2023 - Study Emerging Classic Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. Citation Text: Sloane DM, Smith HL, McHugh MD, et al. Effect of Changes in Hospital Nursing Resources on Improvements in …

Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after

June 16, 2021 - Study Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' Citation Text: Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…

A perinatal care quality and safety initiative: are there financial rewards for improved quality? | PSNet

psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality

April 27, 2019 - Study A perinatal care quality and safety initiative: are there financial rewards for improved quality? Citation Text: Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …

Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy

September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

Discrimination, abuse, harassment, and burnout in surgical residency training. | PSNet

psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training

May 06, 2020 - Study Classic Discrimination, abuse, harassment, and burnout in surgical residency training. Citation Text: Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …

A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/strategic-approach-managing-conflict-hospitals-responding-joint-commission-leadership

December 01, 2007 - Commentary A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2. Citation Text: Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership standard…

Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet

psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports

February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections

February 22, 2017 - Study Classic Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. Citation Text: Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education

June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured

September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…

Clinicians' assessments of electronic medication safety alerts in ambulatory care. | PSNet

psnet.ahrq.gov/issue/clinicians-assessments-electronic-medication-safety-alerts-ambulatory-care

September 02, 2009 - Study Clinicians' assessments of electronic medication safety alerts in ambulatory care. Citation Text: Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch…

Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. | PSNet

psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors

June 27, 2018 - Study Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. Citation Text: Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-based inpatient medication orde…

Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary

April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. Citation Text: Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qu…

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification

March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …

SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. | PSNet

psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines

December 02, 2015 - Organizational Policy/Guidelines Classic SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. Citation Text: Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…

Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. | PSNet

psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington

November 03, 2021 - Study Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. Citation Text: Sears JM, Haight JR, Fulton‐Kehoe D, et al. Changes in early high‐risk opioid prescribing practices after policy interventions in Washington State. Health Serv Res…

Search AHRQ

Results