AHRQ Search | Home Page

Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study. | PSNet

psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert

September 05, 2018 - Study Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study. Citation Text: Kirwan G, O’Leary A, Walsh C, et al. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study…

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet

psnet.ahrq.gov/issue/factors-associated-potentially-harmful-medication-prescribing-nursing-homes-scoping-review

September 27, 2016 - Review Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. Citation Text: Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 202…

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors

August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va

April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. | PSNet

psnet.ahrq.gov/issue/alternatives-potentially-inappropriate-medications-use-e-prescribing-software-triggers-and

February 18, 2011 - Study Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. Citation Text: Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation

January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

The effect of contact precautions on frequency of hospital adverse events. | PSNet

psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events

September 30, 2015 - Study The effect of contact precautions on frequency of hospital adverse events. Citation Text: Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. C…

Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. | PSNet

psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study

January 19, 2014 - Study Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. Citation Text: McEachan RRC, Lawton R, O'Hara JK, et al. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):56…

Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic

September 01, 2016 - Study Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. Citation Text: Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.…

Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet

psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional

September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Citation Text: Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…

Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach

November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

Medication regimen complexity and hospital readmission for an adverse drug event. | PSNet

psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event

December 03, 2014 - Study Medication regimen complexity and hospital readmission for an adverse drug event. Citation Text: Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. C…

Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet

psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics

August 25, 2021 - Study Pediatric prehospital medication dosing errors: a national survey of paramedics. Citation Text: Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…

Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice

January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. | PSNet

psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety

April 24, 2018 - Review Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Citation Text: Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs A…

Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality

January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…

The cost of opioid–related adverse drug events. | PSNet

psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events

August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet

psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection

January 22, 2014 - Review Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Citation Text: Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet

psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action

September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Citation Text: Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…

Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. | PSNet

psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists

September 21, 2022 - Study Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. Citation Text: Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…

Search AHRQ

Results