AHRQ Search | Home Page

Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values

September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

EACTS guidelines for the use of patient safety checklists. | PSNet

psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklists

October 31, 2012 - Commentary EACTS guidelines for the use of patient safety checklists. Citation Text: Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. Copy Citation Format: …

Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet

psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009

June 14, 2017 - Newspaper/Magazine Article Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. Citation Text: Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. | PSNet

psnet.ahrq.gov/issue/automated-electronic-reminders-prevent-miscommunication-among-primary-medical-surgical-and

August 16, 2017 - Commentary Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. Citation Text: Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary m…

Interrater agreement with a standard scheme for classifying medication errors. | PSNet

psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors

September 30, 2020 - Study Interrater agreement with a standard scheme for classifying medication errors. Citation Text: Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81. Copy Citation Format…

Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. | PSNet

psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism

April 20, 2016 - Study Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. Citation Text: Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…

A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery

June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet

psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals

August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

Learning safe prescribing during post-take ward rounds. | PSNet

psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds

August 14, 2013 - Newspaper/Magazine Article Learning safe prescribing during post-take ward rounds. Citation Text: Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. Copy Citation …

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. | PSNet

psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphylococcus-aureus-mrsa-infections

January 03, 2018 - Commentary Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Citation Text: Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31. Copy Citation Format: …

Hospital checklists are meant to save lives—so why do they often fail? | PSNet

psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail

July 31, 2013 - Newspaper/Magazine Article Hospital checklists are meant to save lives—so why do they often fail? Citation Text: Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. Copy Citation Format: DOI G…

Safety in obstetric critical care. | PSNet

psnet.ahrq.gov/issue/safety-obstetric-critical-care

August 29, 2011 - Review Safety in obstetric critical care. Citation Text: Scholefield H. Safety in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):965-82. doi:10.1016/j.bpobgyn.2008.06.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. | PSNet

psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance

March 13, 2013 - Study Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. Citation Text: Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional live…

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Structured communication for patient safety in emergency medical services: a legal case report. | PSNet

psnet.ahrq.gov/issue/structured-communication-patient-safety-emergency-medical-services-legal-case-report

November 21, 2021 - Commentary Structured communication for patient safety in emergency medical services: a legal case report. Citation Text: Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi…

Reducing falls with a safety spotter program. | PSNet

psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program

November 16, 2022 - Commentary Reducing falls with a safety spotter program. Citation Text: Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27. Copy Citation Format: DOI Google Sch…

Telehealth. | PSNet

psnet.ahrq.gov/issue/telehealth

January 27, 2019 - Commentary Telehealth. Citation Text: Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet

psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call

September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

PHSO Review: Quality of NHS Complaints Investigations. | PSNet

psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations

November 16, 2015 - Book/Report PHSO Review: Quality of NHS Complaints Investigations. Citation Text: PHSO Review: Quality of NHS Complaints Investigations. First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Of…

Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet

psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial

July 22, 2024 - Grant Announcement Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Citation Text: Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. Copy Citation …

Search AHRQ

Results