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  1. Medical malpractice claims by members of the uniformed services. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
    November 14, 2011 - Regulation Medical malpractice claims by members of the uniformed services. Citation Text: Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. Copy Cit…

  2. Hospital readmission after noncardiac surgery: the role of major complications. | PSNet

    psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
    July 20, 2016 - Study Hospital readmission after noncardiac surgery: the role of major complications. Citation Text: Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. Copy Citation Format: …

  3. Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change an…

  4. Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns. | PSNet

    psnet.ahrq.gov/issue/silence-can-be-dangerous-vignette-study-assess-healthcare-professionals-likelihood-speaking
    September 17, 2014 - Study Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns. Citation Text: Schwappach DLB, Gehring K. Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking …

  5. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
    September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

  6. TeamSTEPPS Research and Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/research.html
    June 01, 2023 - TeamSTEPPS Research and Tools Agency for Healthcare Research and Quality. (2006).  TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4. Castner, J. (2012). Validity and reliability of the Brief  TeamSTEPPS Teamwork Perceptions Questionnaire.  Jo…

  7. A classification system for incidents and accidents in the health-care system. | PSNet

    psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …

  8. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet

    psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
    March 11, 2013 - Study Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Citation Text: Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…

  9. Costs associated with surgical site infections in Veterans Affairs hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
    June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …

  10. Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet

    psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
    April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

  11. Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

    psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
    May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

  12. Cognitive testing of older clinicians prior to recredentialing. | PSNet

    psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
    January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

  13. Impact of intensive care unit discharge time on patient outcome. | PSNet

    psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
    December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  14. Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

    psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
    March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

  15. The role of checklists and human factors for improved patient safety in plastic surgery. | PSNet

    psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
    November 02, 2016 - Commentary The role of checklists and human factors for improved patient safety in plastic surgery. Citation Text: Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…

  16. Identification and characterization of adverse drug events in primary care. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
    July 16, 2015 - Study Identification and characterization of adverse drug events in primary care. Citation Text: Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695. Copy Cit…

  17. Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
    June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

  18. Managing alarm systems for quality and safety in the hospital setting. | PSNet

    psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
    August 13, 2014 - Review Managing alarm systems for quality and safety in the hospital setting. Citation Text: Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. Copy Citation Format: …

  19. Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
    October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…

  20. From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

    psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…
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