AHRQ Search | Home Page

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems

March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. | PSNet

psnet.ahrq.gov/issue/using-online-quiz-based-reinforcement-system-teach-healthcare-quality-and-patient-safety-and

December 07, 2011 - Study Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. Citation Text: Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality …

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. | PSNet

psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists

August 28, 2017 - Study Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Citation Text: Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation

September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. | PSNet

psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18

June 16, 2021 - Study Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Citation Text: Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? | PSNet

psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while

August 20, 2018 - Study Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? Citation Text: Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of N…

How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet

psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture

July 07, 2021 - Commentary How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. Citation Text: Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…

Identifying high-risk medication: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review

June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. | PSNet

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…

How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? | PSNet

psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism

April 03, 2017 - Study How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Citation Text: White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event

May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet

psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care

December 02, 2020 - Review A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Citation Text: Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…

Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. | PSNet

psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international

September 18, 2024 - Review Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. Citation Text: Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international resea…

Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. | PSNet

psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens

January 22, 2025 - Study Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. Citation Text: Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…

"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet

psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences

November 29, 2017 - Study "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. Citation Text: Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet

psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business

November 23, 2016 - Study Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. Citation Text: Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …

Randomized trial to improve prescribing safety in ambulatory elderly patients. | PSNet

psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients

March 10, 2011 - Study Randomized trial to improve prescribing safety in ambulatory elderly patients. Citation Text: Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85. Copy Citation Format: …

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent

April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. | PSNet

psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training

June 26, 2019 - Study Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. Citation Text: Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…

Search AHRQ

Results