AHRQ Search | Home Page

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error

December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/collaborative-cohort-study-intervention-reduce-ventilator-associated-pneumonia-intensive-care

September 20, 2011 - Study Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Citation Text: Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive …

Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management

May 25, 2016 - Government Resource Promoting Patient Safety Through Effective Health Information Technology Risk Management. Citation Text: Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. | PSNet

psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and

October 16, 2012 - Study Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. Citation Text: Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…

A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. | PSNet

psnet.ahrq.gov/issue/patient-initiated-voluntary-online-survey-adverse-medical-events-perspective-696-injured

May 20, 2020 - Study Classic A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. Citation Text: Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events:…

Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality

March 20, 2017 - Commentary Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Citation Text: Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet

psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry

November 26, 2014 - Study Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. Citation Text: Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J …

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet

psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish

March 03, 2021 - Study The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. Citation Text: Connolly W, Rafter N, Conroy RM, et al. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in th…

"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet

psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study

March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. | PSNet

psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide

April 14, 2021 - Study Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. Citation Text: Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…

Safety climate and its association with office type and team involvement in primary care. | PSNet

psnet.ahrq.gov/issue/safety-climate-and-its-association-office-type-and-team-involvement-primary-care

August 08, 2012 - Study Safety climate and its association with office type and team involvement in primary care. Citation Text: Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-4…

Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. | PSNet

psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking

July 03, 2014 - Study Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Citation Text: Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…

Barriers and facilitators of adverse event reporting by adolescent patients and their families. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their-families

February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…

Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. | PSNet

psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute

February 21, 2018 - Study Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. Citation Text: Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance i…

Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. | PSNet

psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national

November 01, 2023 - Study Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. Citation Text: O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…

Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. | PSNet

psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety

August 28, 2024 - Study Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. Citation Text: Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods for…

Patients as partners in learning from unexpected events. | PSNet

psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events

December 15, 2021 - Study Patients as partners in learning from unexpected events. Citation Text: Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593. Copy Citation Format: DOI…

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. | PSNet

psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital

September 23, 2020 - Study Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. Citation Text: Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption du…

Deriving a framework for a systems approach to agitated patient care in the emergency department. | PSNet

psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department

June 13, 2018 - Study Deriving a framework for a systems approach to agitated patient care in the emergency department. Citation Text: Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018…

How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice

February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

Search AHRQ

Results