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  1. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
    August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

  2. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - Review Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. Citation Text: Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …

  3. Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
    September 15, 2021 - Study Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback. Citation Text: Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…

  4. Clinical pharmacists and inpatient medical care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
    September 09, 2013 - Review Classic Clinical pharmacists and inpatient medical care: a systematic review. Citation Text: Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-64. Copy Citati…

  5. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. | PSNet

    psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
    September 26, 2012 - Study Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. Citation Text: Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…

  6. Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
    April 11, 2011 - Study Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. Citation Text: Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:…

  7. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet

    psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
    May 05, 2021 - Study The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. Citation Text: Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…

  8. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. | PSNet

    psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
    February 15, 2012 - Review Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. Citation Text: Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J…

  9. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/tools/index.html?page=4
    October 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

  10. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/tools/index.html?page=1
    December 01, 2012 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

  11. Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. | PSNet

    psnet.ahrq.gov/issue/interns-compliance-accreditation-council-graduate-medical-education-work-hour-limits
    January 07, 2011 - Study Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. Citation Text: Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. Cop…

  12. Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
    July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

  13. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. | PSNet

    psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
    October 19, 2022 - Study Classic Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Citation Text: Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…

  14. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. | PSNet

    psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods
    February 21, 2018 - Study How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. Citation Text: Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interve…

  15. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? | PSNet

    psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt
    May 19, 2021 - Study Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Citation Text: Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…

  16. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
    June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

  17. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

  18. Medical errors during training: how do residents cope?: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
    October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

  19. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet

    psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
    April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

  20. Pediatric prehospital medication dosing errors: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study
    August 25, 2021 - Study Pediatric prehospital medication dosing errors: a mixed-methods study. Citation Text: Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. Copy Citati…
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