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8041. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/tools/index.html
      June 01, 2025 - Tools To Improve Diagnostic Safety AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…

8042. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet
      psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
      March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. Citation Text: Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…

8043. Inter-Agency Agreement | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/inter-agency-agreement
      January 01, 2023 - Inter-Agency Agreement Comprehensive categorization of guideline recommendations: creating an action palette for implementers. Citation Essaihi A, Michel G, Shiffman RN. Comprehensive categorization of guideline recommendations: creating an action palette for implementers. AMI…

8044. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
      April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

8045. Atlas, Steven J. | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/atlas-steven-j
      January 01, 2023 - Atlas, Steven J. Population-based breast cancer screening in a primary care network. Citation Atlas SJ, Ashburner JM, Chang Y, et al. Population-based breast cancer screening in a primary care network. Am J Manag Care 2012 Dec;18(12):821-9. PMID: 23286611. Principal Inve…

8046. Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. | PSNet
      psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery
      October 05, 2022 - Study Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. Citation Text: Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…

8047. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. | PSNet
      psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
      July 07, 2021 - Commentary Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. Citation Text: Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf R…

8048. Public perceptions and preferences for patient notification after an unsafe injection. | PSNet
      psnet.ahrq.gov/issue/public-perceptions-and-preferences-patient-notification-after-unsafe-injection
      July 14, 2010 - Study Public perceptions and preferences for patient notification after an unsafe injection. Citation Text: Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…

8049. Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet
      psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety
      August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

8050. Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet
      psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
      May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

8051. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? | PSNet
      psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
      March 23, 2011 - Study What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Citation Text: Aranaz-Andrés JM, Limón R, Mira JJ, et al. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Int J Qu…

8052. Rapid response systems: a prospective study of response times. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
      November 16, 2022 - Study Rapid response systems: a prospective study of response times. Citation Text: Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013. Copy Citation Format: …

8053. Missed breast cancer: effects of subconscious bias and lesion characteristics. | PSNet
      psnet.ahrq.gov/issue/missed-breast-cancer-effects-subconscious-bias-and-lesion-characteristics
      February 02, 2022 - Commentary Missed breast cancer: effects of subconscious bias and lesion characteristics. Citation Text: Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.202019009…

8054. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet
      psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
      June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

8055. The role of safety culture in influencing provider perceptions of patient safety. | PSNet
      psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-perceptions-patient-safety
      November 09, 2016 - Study The role of safety culture in influencing provider perceptions of patient safety. Citation Text: Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. Copy Citation Format: Google Schol…

8056. The effect of blue-enriched lighting on medical error rate in a university hospital ICU. | PSNet
      psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
      March 10, 2021 - Study The effect of blue-enriched lighting on medical error rate in a university hospital ICU. Citation Text: Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…

8057. Rapid response teams and failure to rescue: one community's experience. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience
      March 14, 2022 - Study Rapid response teams and failure to rescue: one community's experience. Citation Text: Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. Copy Citation Fo…

8058. Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. | PSNet
      psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-recommendations-interventions-cross
      September 09, 2020 - Study Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. Citation Text: Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospit…

8059. Medication safety in a psychiatric hospital. | PSNet
      psnet.ahrq.gov/issue/medication-safety-psychiatric-hospital
      September 27, 2017 - Study Medication safety in a psychiatric hospital. Citation Text: Rothschild JM, Mann K, Keohane C, et al. Medication safety in a psychiatric hospital. Gen Hosp Psychiatry. 2007;29(2):156-62. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

8060. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. | PSNet
      psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
      June 25, 2014 - Study Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. Citation Text: Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…