AHRQ Search | Home Page

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors

September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals

April 20, 2011 - Study A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Citation Text: Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. Copy Citation For…

The Economic Measurement of Medical Errors. | PSNet

psnet.ahrq.gov/issue/economic-measurement-medical-errors

March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. | PSNet

psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle

June 29, 2009 - Commentary COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. Citation Text: Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …

Risk managers, physicians, and disclosure of harmful medical errors. | PSNet

psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-medical-errors

February 15, 2011 - Study Risk managers, physicians, and disclosure of harmful medical errors. Citation Text: Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. Copy Citation Format: Google S…

Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet

psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school

February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30

February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings

January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet

psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals

November 13, 2009 - Study Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…

Antidepressant and antipsychotic medication errors reported to United States poison control centers. | PSNet

psnet.ahrq.gov/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control

March 24, 2021 - Study Antidepressant and antipsychotic medication errors reported to United States poison control centers. Citation Text: Kamboj A, Spiller HA, Casavant MJ, et al. Antidepressant and antipsychotic medication errors reported to United States poison control centers. Pharmacoepidemiol Drug …

A trigger tool to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit

April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit. Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. | PSNet

psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department

January 23, 2017 - Study Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. Citation Text: Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department. Healthc Inform Res. 2014;20…

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial

January 18, 2011 - Study Classic Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Citation Text: Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…

The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet

psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers

April 24, 2018 - Study The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. Citation Text: Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…

Risk factors for retained instruments and sponges after surgery. | PSNet

psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery

February 17, 2011 - Study Classic Risk factors for retained instruments and sponges after surgery. Citation Text: Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35. Copy Citation Format:…

Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-practices-2010-through-2015-among-dentists-united-states-what-do-claims

December 20, 2017 - Study Emerging Classic Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? Citation Text: Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the Uni…

Racism in pain medicine: we can and should do more. | PSNet

psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more

December 15, 2008 - Commentary Racism in pain medicine: we can and should do more. Citation Text: Strand NH, Mariano ER, Goree JH, et al. Racism in pain medicine: we can and should do more. Mayo Clin Proc. 2021;96(6):1394-1400. doi:10.1016/j.mayocp.2021.02.030. Copy Citation Format: DOI Google…

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report

November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

Transfusion safety: the nature and outcomes of errors in patient registration. | PSNet

psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration

December 16, 2020 - Review Transfusion safety: the nature and outcomes of errors in patient registration. Citation Text: Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004. Copy …

Exploring nurses' attitudes, skills, and beliefs of medication safety practices. | PSNet

psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices

October 21, 2020 - Study Exploring nurses' attitudes, skills, and beliefs of medication safety practices. Citation Text: Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000…

Search AHRQ

Results