AHRQ Search | Home Page

Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements

January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? Citation Text: Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. C…

Safe implementation of standard concentration infusions in paediatric intensive care. | PSNet

psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care

June 17, 2014 - Study Safe implementation of standard concentration infusions in paediatric intensive care. Citation Text: Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…

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…

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…

The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality

October 26, 2010 - Review The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. Citation Text: Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related qu…

A comprehensive obstetrics patient safety program improves safety climate and culture. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture

October 20, 2014 - Study A comprehensive obstetrics patient safety program improves safety climate and culture. Citation Text: Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…

The ability of intensive care units to maintain zero central line–associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections

January 29, 2020 - Study The ability of intensive care units to maintain zero central line–associated bloodstream infections. Citation Text: Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/a…

Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events

March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

The prevalence of wrong level surgery among spine surgeons. | PSNet

psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons

March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. | PSNet

psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events

August 18, 2010 - Study The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. Citation Text: van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…

Description and factors associated with missed nursing care in an acute care community hospital. | PSNet

psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital

August 15, 2012 - Study Emerging Classic Description and factors associated with missed nursing care in an acute care community hospital. Citation Text: Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…

Pediatric emergency department discharge prescriptions requiring pharmacy clarification. | PSNet

psnet.ahrq.gov/issue/pediatric-emergency-department-discharge-prescriptions-requiring-pharmacy-clarification

October 05, 2011 - Study Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Citation Text: Caruso MC, Gittelman MA, Widecan ML, et al. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Pediatr Emerg Care. 2015;31(6):403-8. doi:10.…

Medical errors and patient safety in palliative care: a review of current literature. | PSNet

psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature

December 04, 2016 - Review Medical errors and patient safety in palliative care: a review of current literature. Citation Text: Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2…

A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. | PSNet

psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings

July 28, 2021 - Commentary A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. Citation Text: Lo H-Y, Mullan PC, Lye C, et al. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. BMJ Qual Improv Rep. 2016;5(1). doi:1…

Antimicrobial stewardship: another focus for patient safety? | PSNet

psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety

May 29, 2024 - Review Antimicrobial stewardship: another focus for patient safety? Citation Text: Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077. Copy Citation Format: DO…

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication

March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

Relationship of adverse events and support to RN burnout. | PSNet

psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-burnout

February 08, 2023 - Study Relationship of adverse events and support to RN burnout. Citation Text: Lewis EJ, Baernholdt MB, Yan G, et al. Relationship of adverse events and support to RN burnout. J Nurs Care Qual. 2015;30(2):144-52. doi:10.1097/NCQ.0000000000000084. Copy Citation Format: DOI G…

Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department

October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

Clinical progress note: situation awareness for clinical deterioration in hospitalized children. | PSNet

psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children

January 19, 2022 - Commentary Clinical progress note: situation awareness for clinical deterioration in hospitalized children. Citation Text: Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…

A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet

psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing

April 22, 2011 - Review A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Citation Text: Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…

Search AHRQ

Results