AHRQ Search | Home Page

Primary medication non-adherence: analysis of 195,930 electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/primary-medication-non-adherence-analysis-195930-electronic-prescriptions

July 27, 2016 - Study Primary medication non-adherence: analysis of 195,930 electronic prescriptions. Citation Text: Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.…

Interprofessional communication and medical error: a reframing of research questions and approaches. | PSNet

psnet.ahrq.gov/issue/interprofessional-communication-and-medical-error-reframing-research-questions-and-approaches

December 08, 2010 - Review Interprofessional communication and medical error: a reframing of research questions and approaches. Citation Text: Varpio L, Hall P, Lingard LA, et al. Interprofessional communication and medical error: a reframing of research questions and approaches. Acad Med. 2008;83(10 Supp…

Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. | PSNet

psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics

May 29, 2019 - Commentary Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. Citation Text: Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043…

Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet

psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions

April 19, 2017 - Commentary Disclosing medical errors to patients: a challenge for health care professionals and institutions. Citation Text: Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…

Measuring safety climate in elderly homes. | PSNet

psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes

March 29, 2023 - Study Measuring safety climate in elderly homes. Citation Text: Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

At risk care plans: a way to reduce readmissions and adverse events. | PSNet

psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events

October 27, 2010 - Commentary At risk care plans: a way to reduce readmissions and adverse events. Citation Text: Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. Copy Citation…

Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet

psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors

February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. | PSNet

psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine

February 24, 2021 - Commentary Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. Citation Text: Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…

Interventions to improve teamwork and communications among healthcare staff. | PSNet

psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff

March 03, 2011 - Review Interventions to improve teamwork and communications among healthcare staff. Citation Text: McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434. Copy Citation …

The patient's role in patient safety. | PSNet

psnet.ahrq.gov/issue/patients-role-patient-safety

May 01, 2024 - Review The patient's role in patient safety. Citation Text: Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety

December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

Joint Statement on Multiple Patients Per Ventilator. | PSNet

psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator

May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…

Reclaiming the systems approach to paediatric safety. | PSNet

psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety

April 03, 2019 - Commentary Reclaiming the systems approach to paediatric safety. Citation Text: Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. Copy Citation Format: DOI Googl…

Resilience and resilience engineering in health care. | PSNet

psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care

September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips

February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet

psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia

February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet

psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life

September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states

August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

Implementing smart infusion pumps with dose-error reduction software: real-world experiences. | PSNet

psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences

May 26, 2021 - Commentary Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Citation Text: Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. …

The unmeasured quality metric: burn out and the second victim syndrome in healthcare. | PSNet

psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare

September 25, 2024 - Commentary The unmeasured quality metric: burn out and the second victim syndrome in healthcare. Citation Text: Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…

Search AHRQ

Results