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psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
January 19, 2014 - Study
Risk factors for adverse events in emergency department procedural sedation for children.
Citation Text:
Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jam…
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - Study
When policy meets physiology: the challenge of reducing resident work hours.
Citation Text:
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
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psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
September 15, 2011 - Study
The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
Citation Text:
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…
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psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
December 21, 2014 - Study
Classic
Preventability of hospital-acquired venous thromboembolism.
Citation Text:
Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340.
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psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
August 18, 2021 - Study
Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study.
Citation Text:
Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…
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psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift
October 30, 2019 - Study
Implementation of an emergency department sign-out checklist improves transfer of information at shift change.
Citation Text:
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis.
Citation Text:
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate
March 17, 2010 - Study
Organisational culture: variation across hospitals and connection to patient safety climate.
Citation Text:
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
August 25, 2021 - Study
Pediatric prehospital medication dosing errors: a national survey of paramedics.
Citation Text:
Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…
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psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
December 19, 2018 - Review
Accountability for medical error: moving beyond blame to advocacy.
Citation Text:
Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533.
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psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
July 07, 2021 - Study
Human errors in emergency medical services: a qualitative analysis of contributing factors.
Citation Text:
Poranen A, Kouvonen A, Nordquist H. Human errors in emergency medical services: a qualitative analysis of contributing factors. Scand J Trauma Resusc Emerg Med. 2024;32(1):78.…
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psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
April 26, 2023 - Study
Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.
Citation Text:
Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
October 13, 2018 - Study
We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record.
Citation Text:
Sheu L, Fung K, Mourad M, et al. We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. J …
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psnet.ahrq.gov/issue/impact-burnout-paediatric-nurses-attitudes-about-patient-safety-acute-hospital-setting
June 05, 2019 - Review
The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setting: a systematic review.
Citation Text:
Flynn C, Watson C, Patton D, et al. The impact of burnout on paediatric nurses' attitudes about patient safety in the acute hospital setti…
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psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
March 23, 2011 - Study
In search of common ground in handoff documentation in an intensive care unit.
Citation Text:
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care
SEP
14
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
The theme of World Patient Safety Day…
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psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
September 11, 2024 - Study
Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study.
Citation Text:
Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…
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psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - Study
Classic
Should operations be regionalized? The empirical relation between surgical volume and mortality.
Citation Text:
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…
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psnet.ahrq.gov/issue/interhospital-transfer-patients-discharged-academic-hospitalists-and-general-internists
August 01, 2018 - Study
Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes.
Citation Text:
Sokol-Hessner L, White AA, Davis KF, et al. Interhospital transfer patients discharged by academic hospitalists and general internists: Character…