AHRQ Search | Home Page

The impact of internal service quality on preventable adverse events in hospitals. | PSNet

psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals

September 24, 2016 - Study The impact of internal service quality on preventable adverse events in hospitals. Citation Text: Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…

Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination

April 03, 2019 - Study Improving safety in the operating room: medication icon labels increase visibility and discrimination. Citation Text: Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. | PSNet

psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive

February 19, 2014 - Study Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries. Citation Text: Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill patients through screening intensive…

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department

March 04, 2011 - Study Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. Citation Text: Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. | PSNet

psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting

September 23, 2020 - Study Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. Citation Text: Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. | PSNet

psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic

June 11, 2008 - Study Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults. Citation Text: Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in old…

Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care

December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. | PSNet

psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000-2021

October 30, 2024 - Study Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Citation Text: DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.154…

Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices

October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. | PSNet

psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and

July 13, 2010 - Study Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Citation Text: Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet

psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety

March 10, 2021 - Study Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. Citation Text: Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…

Implementing online medication reconciliation at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center

January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

Electronic medication reconciliation and medication errors. | PSNet

psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-medication-errors

November 16, 2022 - Study Electronic medication reconciliation and medication errors. Citation Text: Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046. Copy Citation Format: DOI Goo…

An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. | PSNet

psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-against-medical-oncologists-national-database

July 02, 2019 - Study An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. Citation Text: Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database:…

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. | PSNet

psnet.ahrq.gov/issue/diagramming-patients-views-root-causes-adverse-drug-events-ambulatory-care-online-tool

April 27, 2010 - Study Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. Citation Text: Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online …

Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? | PSNet

psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional

November 16, 2022 - Review Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Citation Text: Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…

A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet

psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall

January 12, 2022 - Review A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. Citation Text: Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. Expert Rev Clin Pharmac…

Errors in medication history at hospital admission: prevalence and predicting factors. | PSNet

psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors

October 14, 2020 - Study Errors in medication history at hospital admission: prevalence and predicting factors. Citation Text: Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…

Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. | PSNet

psnet.ahrq.gov/issue/consumer-participation-early-detection-deteriorating-patient-and-call-activation-rapid

February 28, 2024 - Review Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. Citation Text: Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response…

Search AHRQ

Results