AHRQ Search | Home Page

Medication errors—new approaches to prevention. | PSNet

psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention

November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. | PSNet

psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production

June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…

I-PASS handover system: a decade of evidence demands action. | PSNet

psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action

July 07, 2021 - Commentary I-PASS handover system: a decade of evidence demands action. Citation Text: Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. Copy Citation Format: DOI Google Scholar BibTeX …

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. | PSNet

psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient

August 04, 2021 - Study Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Citation Text: Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Pat…

Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet

psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician

April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery

May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. | PSNet

psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost

May 20, 2009 - Commentary Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Citation Text: Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…

Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. | PSNet

psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm

November 27, 2012 - Commentary Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Citation Text: Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…

Interventions for postsurgical opioid prescribing: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review

October 03, 2012 - Review Emerging Classic Interventions for postsurgical opioid prescribing: a systematic review. Citation Text: Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. Copy Cit…

Actions Needed to Address Employee Misconduct Process and Ensure Accountability. | PSNet

psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability

July 11, 2018 - Book/Report Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Citation Text: Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …

Themed Issue on Innovations in Medication Safety. | PSNet

psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety

August 30, 2017 - Special or Theme Issue Themed Issue on Innovations in Medication Safety. Citation Text: Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…

The effect of workload reduction on the quality of residents' discharge summaries. | PSNet

psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries

February 17, 2011 - Study The effect of workload reduction on the quality of residents' discharge summaries. Citation Text: Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z. Co…

Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. | PSNet

psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care

July 31, 2019 - Study Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. Citation Text: Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient ca…

A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet

psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and

July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

Interruptions and medication administration in critical care. | PSNet

psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care

December 08, 2021 - Review Interruptions and medication administration in critical care. Citation Text: Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. Copy Citation Format: DOI Google Scho…

Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. | PSNet

psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room

November 09, 2015 - Study Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …

Human factors in anaesthetic practice: insights from a task analysis. | PSNet

psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis

April 18, 2011 - Study Human factors in anaesthetic practice: insights from a task analysis. Citation Text: Phipps D, Meakin GH, Beatty PCW, et al. Human factors in anaesthetic practice: insights from a task analysis. Br J Anaesth. 2008;100(3):333-43. doi:10.1093/bja/aem392. Copy Citation Format:…

Independent double-checks for high-alert medications: essential practice. | PSNet

psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice

February 01, 2023 - Commentary Independent double-checks for high-alert medications: essential practice. Citation Text: Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. Copy Citation …

High-alert medications: the safeguards that you should put in place to reduce risks. | PSNet

psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks

May 20, 2020 - Newspaper/Magazine Article High-alert medications: the safeguards that you should put in place to reduce risks. Citation Text: High-alert medications: the safeguards that you should put in place to reduce risks. Blank C. Drug Topics. October 13, 2017. Copy Citation Save…

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. | PSNet

psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions

August 18, 2021 - Study Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Citation Text: Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. Cop…

Search AHRQ

Results