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4561. Adverse Drug Events (ADE) | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/adverse-drug-events-ade.html
      Topic: Adverse Drug Events (ADE) AHRQ offers research and resources for healthcare professionals to better understand and reduce risks related to adverse drug events. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients

4562. Caregivers' perception of drug administration safety for pediatric oncology patients. | PSNet
      psnet.ahrq.gov/issue/caregivers-perception-drug-administration-safety-pediatric-oncology-patients
      August 14, 2024 - Study Caregivers' perception of drug administration safety for pediatric oncology patients. Citation Text: Harris N, Badr LK, Saab R, et al. Caregivers' perception of drug administration safety for pediatric oncology patients. J Pediatr Oncol Nurs. 2014;31(2):95-103. doi:10.1177/10434542…

4563. Chasing zero harm in radiation oncology: using pre-treatment peer review. | PSNet
      psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
      January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…

4564. Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. | PSNet
      psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-meta-analysis
      June 26, 2019 - Review Emerging Classic Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. Citation Text: Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1…

4565. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. | PSNet
      psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
      November 21, 2017 - Study Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. Citation Text: Wick EC, Hobson DB, Bennett JL, et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J Am Coll Surg. …

4566. Using a logic model to design and evaluate quality and patient safety improvement programs. | PSNet
      psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
      November 10, 2010 - Commentary Using a logic model to design and evaluate quality and patient safety improvement programs. Citation Text: Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …

4567. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet
      psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
      March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

4568. A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-safety-events-among-adolescents-hospitalized-after
      July 22, 2020 - Study A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. Citation Text: Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…

4569. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
      April 24, 2018 - Study Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. Citation Text: Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted…

4570. Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
      April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

4571. The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
      May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

4572. Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. | PSNet
      psnet.ahrq.gov/issue/patient-initiated-second-opinions-systematic-review-characteristics-and-impact-diagnosis
      May 29, 2015 - Review Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. Citation Text: Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…

4573. FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet
      psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
      October 19, 2022 - Press Release/Announcement FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

4574. Improving end of life care: an information systems approach to reducing medical errors. | PSNet
      psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
      November 04, 2015 - Study Improving end of life care: an information systems approach to reducing medical errors. Citation Text: Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. Copy C…

4575. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. | PSNet
      psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication
      August 26, 2015 - Review Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. Citation Text: Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …

4576. Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. | PSNet
      psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
      July 29, 2020 - Study Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. Citation Text: Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…

4577. Barriers and facilitators to injection safety in ambulatory care settings. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-injection-safety-ambulatory-care-settings
      November 18, 2016 - Review Barriers and facilitators to injection safety in ambulatory care settings. Citation Text: Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.…

4578. Prescribing errors in hospital practice. | PSNet
      psnet.ahrq.gov/issue/prescribing-errors-hospital-practice
      July 01, 2017 - Review Prescribing errors in hospital practice. Citation Text: Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

4579. Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet
      psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
      September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

4580. The safe day call: reducing silos in health care through frontline risk assessment. | PSNet
      psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
      May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…