-
psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study
December 01, 2019 - December 16, 2020
Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.
-
psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
December 16, 2020 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.
-
psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
December 31, 2014 - Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication … error reductions.
-
psnet.ahrq.gov/node/41115/psn-pdf
January 31, 2005 - Intravenous acetaminophen in the United States:
iatrogenic dosing errors.
January 31, 2005
Dart RC; Rumack BH.
https://psnet.ahrq.gov/issue/intravenous-acetaminophen-united-states-iatrogenic-dosing-errors
A new intravenous formulation of acetaminophen (a popular over-the-counter pain medication) was
recently intr…
-
psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
November 11, 2015 - June 22, 2009
Risk of medication errors at hospital discharge and barriers to problem
-
psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - July 31, 2013
Profiles in patient safety: medication errors in the emergency department
-
psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - October 19, 2022
Reducing medication errors for adults in hospital settings.
-
psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - December 17, 2014
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance
-
psnet.ahrq.gov/node/40648/psn-pdf
February 09, 2012 - pros-and-cons-electronic-prescribing-children
This commentary explores how electronic prescribing could reduce medication … errors and augment
pediatric patient safety.
-
psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Sentinel Event Alerts
Safely implementing health information and converging technologies.
Citation Text:
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XM…
-
psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
July 30, 2014 - Study
Work-arounds observed by fourth-year nursing students.
Citation Text:
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
Copy Citation
Format:
DOI Google Scholar Pu…
-
psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
June 12, 2019 - Review
Leveraging the electronic health record to improve quality and safety in rheumatology.
Citation Text:
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …
-
psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
May 31, 2023 - Study
Electronic health record use and the quality of ambulatory care in the United States.
Citation Text:
Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5.
Copy Citation
F…
-
psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
November 16, 2022 - Study
Electronic medical record availability and primary care depression treatment.
Citation Text:
Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0.
Copy …
-
psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
October 28, 2020 - Press Release/Announcement
Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication.
Citation Text:
Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…
-
www.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools
Search All Impact Case Studies
May 2015
St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ:
The Hospital Consumer Asses…
-
psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - Commentary
Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.
Citation Text:
Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…
-
psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
December 08, 2021 - Review
Nurses' workarounds in acute healthcare settings: a scoping review.
Citation Text:
Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175.
Copy Citation
…
-
psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - Government Resource
AHRQ Health Information Technology Research: 2018 Year in Review.
Citation Text:
AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…
-
psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
March 21, 2017 - Study
Reasons for after-hours calls by hospital floor nurses to on-call physicians.
Citation Text:
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
Copy Citation
F…