AHRQ Search | Home Page

Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet

psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders

April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection

May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. | PSNet

psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls

November 21, 2014 - Study Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. Citation Text: Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…

Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic

March 12, 2025 - Study Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. Citation Text: Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…

Association of hospitalist years of experience with mortality in the hospitalized Medicare population. | PSNet

psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population

May 11, 2022 - Study Association of hospitalist years of experience with mortality in the hospitalized Medicare population. Citation Text: Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2017;1…

Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet

psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods

December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…

The effect of health information technology on quality in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals

September 27, 2010 - Study The effect of health information technology on quality in U.S. hospitals. Citation Text: McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. …

Operative team communication during simulated emergencies: too busy to respond? | PSNet

psnet.ahrq.gov/issue/operative-team-communication-during-simulated-emergencies-too-busy-respond

March 04, 2020 - Study Operative team communication during simulated emergencies: too busy to respond? Citation Text: Davis A, Jones S, Crowell-Kuhnberg AM, et al. Operative team communication during simulated emergencies: Too busy to respond? Surgery. 2017;161(5):1348-1356. doi:10.1016/j.surg.2016.09.02…

Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors

September 13, 2023 - Study Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. Citation Text: Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their cont…

JAMA professionalism: disclosure of medical error. | PSNet

psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error

December 19, 2018 - Commentary JAMA professionalism: disclosure of medical error. Citation Text: Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet

psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired

December 22, 2021 - Study Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. Citation Text: Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. J Healthc Qual. 2023;45(3):…

Safety is part of quality: a proposal for a continuum in performance measurement. | PSNet

psnet.ahrq.gov/issue/safety-part-quality-proposal-continuum-performance-measurement

February 25, 2009 - Study Safety is part of quality: a proposal for a continuum in performance measurement. Citation Text: Kazandjian VA, Wicker KG, Matthes N, et al. Safety is part of quality: a proposal for a continuum in performance measurement. J Eval Clin Pract. 2008;14(2):354-359. doi:10.1111/j.1365…

Adverse event reporting: harnessing residents to improve patient safety. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety

July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

The bare minimum: the reality of global anaesthesia and patient safety. | PSNet

psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety

April 22, 2015 - Commentary The bare minimum: the reality of global anaesthesia and patient safety. Citation Text: McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. Copy Citatio…

Organizational costs of preventable medical errors. | PSNet

psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors

April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach

August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing

January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Using simulation to improve systems-based practices. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices

January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years. | PSNet

psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity

April 24, 2018 - Study Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years. Citation Text: Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in emergency departme…

Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet

psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care

April 12, 2017 - Study Patient safety in dentistry: development of a candidate 'never event' list for primary care. Citation Text: Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. …

Search AHRQ

Results