AHRQ Search | Home Page

'Between the flags': implementing a rapid response system at scale. | PSNet

psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale

June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…

Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. | PSNet

psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-prevention

August 17, 2022 - Study Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. Citation Text: doi:http://doi.org/10.23750/abm.v92iS2.11507. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote…

The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. | PSNet

psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide

January 09, 2025 - Tools/Toolkit The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Citation Text: The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022. Copy Citation Sav…

Measuring safety of healthcare: an exercise in futility? | PSNet

psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility

May 20, 2020 - Commentary Measuring safety of healthcare: an exercise in futility? Citation Text: Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824. Copy Citation Format: DOI Google Schol…

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet

psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety

May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

Conflict resolution: applying aviation crew resource management in healthcare. | PSNet

psnet.ahrq.gov/issue/conflict-resolution-applying-aviation-crew-resource-management-healthcare

October 22, 2010 - Commentary Conflict resolution: applying aviation crew resource management in healthcare. Citation Text: Braverman A. Conflict resolution: applying aviation crew resource management in healthcare. Nurs Manage. 2021;52(9):30-34. doi:10.1097/01.numa.0000771740.79361.1c. Copy Citation …

What causes prescribing errors in children? Scoping review. | PSNet

psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review

September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

Statewide identification of adverse events using retrospective nurse review: methods and outcomes. | PSNet

psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes

November 21, 2021 - Study Statewide identification of adverse events using retrospective nurse review: methods and outcomes. Citation Text: Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…

Building nursing intellectual capital for safe use of information technology: a systematic review. | PSNet

psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review

June 23, 2009 - Review Building nursing intellectual capital for safe use of information technology: a systematic review. Citation Text: Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…

Insights into the climate of safety towards the prevention of falls among hospital staff. | PSNet

psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff

February 14, 2017 - Study Insights into the climate of safety towards the prevention of falls among hospital staff. Citation Text: Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…

Patient Safety and Quality Improvement Act of 2005. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0

December 21, 2011 - Commentary Patient Safety and Quality Improvement Act of 2005. Citation Text: Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Evaluation of causes and frequency of medication errors during information technology downtime. | PSNet

psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime

October 03, 2011 - Study Evaluation of causes and frequency of medication errors during information technology downtime. Citation Text: Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…

One hospital's initiatives to encourage safe opioid use. | PSNet

psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use

October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

Teaching medical students to recognise and report errors. | PSNet

psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors

March 01, 2023 - Commentary Teaching medical students to recognise and report errors. Citation Text: Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. Copy Citation Format: DOI Google Sc…

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet

psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts

August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. | PSNet

psnet.ahrq.gov/issue/multicenter-multidisciplinary-high-alert-medication-collaborative-improve-patient-safety

December 04, 2016 - Study A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Citation Text: Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…

Cascades of care after incidental findings in a US national survey of physicians. | PSNet

psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians

April 24, 2018 - Study Classic Cascades of care after incidental findings in a US national survey of physicians. Citation Text: Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open. 2019;2(10):e191…

Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. | PSNet

psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative

February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…

Patient safety in obstetrics and obstetric anesthesia. | PSNet

psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia

August 04, 2021 - Review Patient safety in obstetrics and obstetric anesthesia. Citation Text: Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017. Copy Citation Format: DOI Google Scholar PubMed B…

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet

psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit

December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

Search AHRQ

Results