AHRQ Search | Home Page

A new perspective on blame culture: an experimental study. | PSNet

psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study

July 10, 2013 - Study A new perspective on blame culture: an experimental study. Citation Text: Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x. Copy Citation Format: …

Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. | PSNet

psnet.ahrq.gov/issue/impact-participation-california-healthcare-associated-infection-prevention-initiative

September 28, 2011 - Study Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. Citation Text: Hal…

How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet

psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations

June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident investigations. Citation Text: Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…

Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet

psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model

January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds model. Citation Text: Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…

A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. | PSNet

psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency

July 01, 2019 - Study A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Citation Text: Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. | PSNet

psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care

March 10, 2011 - Study Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. Citation Text: Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces

November 16, 2022 - Commentary Emerging Classic Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. Citation Text: Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…

Improving the quality of health care: what's taking so long? | PSNet

psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long

April 06, 2016 - Commentary Classic Improving the quality of health care: what's taking so long? Citation Text: Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. Copy Citation Format: …

Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. | PSNet

psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new

January 25, 2023 - Commentary Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. Citation Text: Liu G, Chimowitz H, Isbell LM. Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research op…

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims

September 27, 2017 - Study Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. Citation Text: Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…

The effects of physical environments in medical wards on medication communication processes affecting patient safety. | PSNet

psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting

November 17, 2021 - Study The effects of physical environments in medical wards on medication communication processes affecting patient safety. Citation Text: Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…

Use of electronic health records in US hospitals. | PSNet

psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals

February 17, 2011 - Meeting/Conference Proceedings Use of electronic health records in US hospitals. Citation Text: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. | PSNet

psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational

November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…

Misdiagnosis in the emergency department: time for a system solution. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution

March 25, 2020 - Commentary Misdiagnosis in the emergency department: time for a system solution. Citation Text: Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. Copy Citation Format: DOI Goo…

Medical students' experiences, perceptions, and management of second victim: an interview study. | PSNet

psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study

March 05, 2014 - Study Medical students' experiences, perceptions, and management of second victim: an interview study. Citation Text: Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…

A hospitalization from hell: a patient's perspective on quality. | PSNet

psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality

July 19, 2023 - Commentary Classic A hospitalization from hell: a patient's perspective on quality. Citation Text: Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39. Copy Citation Format: Google Scholar…

Reducing diagnostic errors—why now? | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now

July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

Cognitive error in an academic emergency department. | PSNet

psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department

July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…

Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. | PSNet

psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident

December 18, 2014 - Study Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Citation Text: O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. | PSNet

psnet.ahrq.gov/issue/out-sight-out-mind-housestaff-perceptions-quality-limiting-factors-discharge-care-teaching

November 26, 2014 - Study "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. Citation Text: Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at t…

Search AHRQ

Results