AHRQ Search | Home Page

Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

January 10, 2024 - Study Using a learning system approach to improve safety for prone-position ventilation patients. Citation Text: Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.10…

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet

psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety

October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. | PSNet

psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi

March 17, 2021 - Study Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. Citation Text: Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event

May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

Implementation strategies in the context of medication reconciliation: a qualitative study. | PSNet

psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study

August 05, 2020 - Study Implementation strategies in the context of medication reconciliation: a qualitative study. Citation Text: Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:1…

Emergency physician perceptions of electronic health record usability and safety. | PSNet

psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety

August 24, 2022 - Study Emergency physician perceptions of electronic health record usability and safety. Citation Text: Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. | PSNet

psnet.ahrq.gov/issue/safe-clinical-practice-patients-hospitalised-mental-health-wards-during-suicidal-crisis

August 17, 2022 - Study Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Safe clinical practice for patients hospitalised in mental health wards during a suicidal…

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings

December 09, 2020 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…

Do words matter? Stigmatizing language and the transmission of bias in the medical record. | PSNet

psnet.ahrq.gov/issue/do-words-matter-stigmatizing-language-and-transmission-bias-medical-record

June 06, 2021 - Study Do words matter? Stigmatizing language and the transmission of bias in the medical record. Citation Text: P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:…

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. | PSNet

psnet.ahrq.gov/issue/adopting-real-time-surveillance-dashboards-component-enterprisewide-medication-safety

June 27, 2018 - Study Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Citation Text: Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Q…

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis

September 23, 2020 - Review Classic Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. Citation Text: Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet

psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned

May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

How health systems decide to use artificial intelligence for clinical decision support. | PSNet

psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support

March 30, 2022 - Study How health systems decide to use artificial intelligence for clinical decision support. Citation Text: Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…

The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet

psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices

September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems

May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Citation Text: Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…

Implementing patient safety interventions in your hospital: what to try and what to avoid. | PSNet

psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid

June 03, 2010 - Review Implementing patient safety interventions in your hospital: what to try and what to avoid. Citation Text: Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…

Improving patient safety in intensive care units in Michigan. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan

February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement

August 11, 2010 - Study Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. Citation Text: Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet

psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Citation Text: Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …

Search AHRQ

Results