AHRQ Search | Home Page

10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet

psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system

April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments. | PSNet

psnet.ahrq.gov/issue/safety-emergency-care-systems-results-survey-clinicians-65-us-emergency-departments

June 07, 2008 - Study The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments. Citation Text: Magid DJ, Sullivan AF, Cleary PD, et al. The safety of emergency care systems: Results of a survey of clinicians in 65 US emergency departments. Ann Emerg Med. 2…

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons

July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet

psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience

February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…

Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. | PSNet

psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va

December 16, 2020 - Book/Report Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. Citation Text: Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center i…

Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet

psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration

November 17, 2021 - Study Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. Citation Text: Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses an…

Physician satisfaction with transition from CPOE to paper-based prescription. | PSNet

psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription

January 06, 2018 - Study Physician satisfaction with transition from CPOE to paper-based prescription. Citation Text: Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…

Now is the time to routinely ask patients about safety. | PSNet

psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety

March 08, 2023 - Commentary Now is the time to routinely ask patients about safety. Citation Text: Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf. 2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009. Copy Citation Format: DOI Google Scholar BibT…

Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study

October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

Medical students benefit from learning about patient safety in an interprofessional team. | PSNet

psnet.ahrq.gov/issue/medical-students-benefit-learning-about-patient-safety-interprofessional-team

November 03, 2015 - Image/Poster Medical students benefit from learning about patient safety in an interprofessional team. Citation Text: Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111…

Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet

psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors

November 12, 2014 - Commentary Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. Citation Text: Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet

psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity

December 12, 2012 - Study Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Citation Text: Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…

"First, do no harm": balancing competing priorities in surgical practice. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice

December 12, 2012 - Study "First, do no harm": balancing competing priorities in surgical practice. Citation Text: Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74. Copy Citation Format: Google Scholar Pub…

The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet

psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships

September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

Incidence of medication errors and adverse drug events in the ICU: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review

October 16, 2019 - Review Incidence of medication errors and adverse drug events in the ICU: a systematic review. Citation Text: Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…

The error of omission: a simple checklist approach for improving operating room safety. | PSNet

psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety

August 03, 2022 - Commentary The error of omission: a simple checklist approach for improving operating room safety. Citation Text: Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0…

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. | PSNet

psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering

August 21, 2024 - Commentary Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Citation Text: Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…

Emergency department discharge prescription interventions by emergency medicine pharmacists. | PSNet

psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists

September 22, 2021 - Study Emergency department discharge prescription interventions by emergency medicine pharmacists. Citation Text: Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…

A model of disruptive surgeon behavior in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment

February 05, 2020 - Study A model of disruptive surgeon behavior in the perioperative environment. Citation Text: Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. Copy Citation Format…

Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. | PSNet

psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level

November 16, 2022 - Study Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. Citation Text: Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …

Search AHRQ

Results