AHRQ Search | Home Page

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department

September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record

July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. | PSNet

psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency

October 19, 2022 - Study Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Citation Text: Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …

Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design

January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet

psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults

July 06, 2022 - Study Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Citation Text: Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…

Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. | PSNet

psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse

November 24, 2021 - Study Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. Citation Text: Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study. | PSNet

psnet.ahrq.gov/issue/missed-nursing-care-critical-care-unit-and-during-covid-19-pandemic-comparative-cross

July 21, 2021 - Study Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study. Citation Text: Falk A-C, Nymark C, Göransson KE, et al. Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative…

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? | PSNet

psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety

June 01, 2022 - Study Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? Citation Text: Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…

Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. | PSNet

psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential

February 14, 2024 - Commentary Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. Citation Text: Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Desi…

Systems Approach | PSNet

psnet.ahrq.gov/primer/systems-approach

June 15, 2024 - Systems Approach Citation Text: Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. | PSNet

psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general

September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…

Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet

psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban

January 19, 2022 - Study Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. Citation Text: Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J…

Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. | PSNet

psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety

January 22, 2016 - Study Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. Citation Text: Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions …

Safety of the Manchester Triage System to detect critically ill children at the emergency department. | PSNet

psnet.ahrq.gov/issue/safety-manchester-triage-system-detect-critically-ill-children-emergency-department

October 18, 2023 - Study Safety of the Manchester Triage System to detect critically ill children at the emergency department. Citation Text: Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department. J Pediatr. 2016;17…

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. | PSNet

psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long

February 26, 2009 - Study Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. Citation Text: Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …

Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after

August 18, 2021 - Study Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. Citation Text: Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…

Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and

March 11, 2020 - Study Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. Citation Text: Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. | PSNet

psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage

June 29, 2011 - Study Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. Citation Text: Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf…

Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and

December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…

Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. | PSNet

psnet.ahrq.gov/issue/biases-detection-apparent-weekend-effect-outcome-administrative-coding-data-population-based

September 23, 2020 - Study Classic Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. Citation Text: Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrati…

Search AHRQ

Results