-
psnet.ahrq.gov/issue/use-quality-indicators-compare-point-care-testing-errors-neonatal-unit-and-errors-stat
December 02, 2020 - Study
Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.
Citation Text:
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a S…
-
www.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families
DEC
20
2022
By
Members of AHRQ’s National Advisory Council:
Krista Hughes, B.C.P.A., and Andrew D. Auerbach, M.D., M.P.H.
Krista Hughes, B.C.P.A.
…
-
www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List
MAR
12
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Stephen Raab, M.D.
As we celebrate Patient Safety Awareness Week 2024 , AHRQ again places particular em…
-
psnet.ahrq.gov/issue/workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-current
February 07, 2024 - Review
Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.
Citation Text:
Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of curren…
-
psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
January 31, 2024 - Commentary
A 60-year-old man with delayed care for a renal mass.
Citation Text:
Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNo…
-
psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
May 19, 2021 - Study
What happens to the medication regimens of older adults during and after an acute hospitalization?
Citation Text:
Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…
-
psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories
February 15, 2010 - Study
Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories.
Citation Text:
Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…
-
psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
April 22, 2016 - Study
Assuring safe patient care in a level III NICU in anticipation of hospital closure.
Citation Text:
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
Copy Citation…
-
psnet.ahrq.gov/issue/impact-rapid-response-team-outcome-patients-transferred-ward-icu-single-center-study
May 27, 2011 - Study
The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study.
Citation Text:
Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…
-
psnet.ahrq.gov/issue/using-patient-safety-indicators-detect-potential-safety-events-among-us-veterans-psychotic
November 16, 2022 - Study
Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.
Citation Text:
Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among US veterans w…
-
psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
May 17, 2018 - Study
A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.
Citation Text:
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
-
psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
July 14, 2021 - Study
Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor.
Citation Text:
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…
-
psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
August 04, 2021 - Study
Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative.
Citation Text:
Hon HH, Elmously A, Stehly CD, et al. Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative. J Postgrad Med. 2016;62(2):73-9. doi:10.4103/0022-3…
-
psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
June 09, 2015 - Study
Organizational learning in the morbidity and mortality conference.
Citation Text:
Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416.
Copy Citation
Format:…
-
psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
-
psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication
February 23, 2009 - Study
Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.
Citation Text:
Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medi…
-
psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
August 21, 2024 - Study
Efficacy of an incident-reporting system in cellular pathology: a practical experience.
Citation Text:
Rakha EA, Clark D, Chohan BS, et al. Efficacy of an incident-reporting system in cellular pathology: a practical experience. J Clin Pathol. 2012;65(7):643-8. doi:10.1136/jclinpa…
-
psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
April 12, 2011 - Study
Identifying risk factors for medical injury.
Citation Text:
Guse CE, Yang H, Layde PM. Identifying risk factors for medical injury. Int J Qual Health Care. 2006;18(3):203-10.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
-
psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - Study
Contributing factors identified by hospital incident report narratives.
Citation Text:
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
Copy Cit…
-
psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
August 21, 2019 - Study
Residents, responsibility, and error: how residents learn to navigate the intersection.
Citation Text:
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…