AHRQ Search | Home Page

Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and

May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event investigation and analysis. Citation Text: Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. J Patient Saf. 202…

High-risk medication in home care nursing: a Delphi study. | PSNet

psnet.ahrq.gov/issue/high-risk-medication-home-care-nursing-delphi-study

April 13, 2022 - Study High-risk medication in home care nursing: a Delphi study. Citation Text: Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023. Copy Citation Format: …

The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during

December 23, 2020 - Commentary The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. Citation Text: Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-catheter-associated-urinary-tract-infection-cauti-prevention

February 07, 2022 - Review Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Citation Text: Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic revie…

2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…

Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet

psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves

February 14, 2024 - Study Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. Citation Text: Dave N, Sjöholm D, Hedberg P, et al. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. JAMA Netw Open. 2023;6(11):e2341936. doi:10.1001/jamanetwo…

National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic

November 30, 2022 - Study National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Citation Text: Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…

Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. | PSNet

psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes

November 06, 2015 - Study Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. Citation Text: Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse O…

Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 | PSNet

psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience

February 15, 2023 - Book/Report Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 Citation Text: Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …

Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. | PSNet

psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing

May 19, 2021 - Study Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. Citation Text: Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing …

'Care left undone' during nursing shifts: associations with workload and perceived quality of care. | PSNet

psnet.ahrq.gov/issue/care-left-undone-during-nursing-shifts-associations-workload-and-perceived-quality-care

July 19, 2019 - Study 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. Citation Text: Ball JE, Murrells T, Rafferty AM, et al. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014;23(2)…

Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. | PSNet

psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study

October 20, 2021 - Study Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. Citation Text: Moore A, Knutsen Glette M. Nurses’ experience with presenteeism and the potential consequences o…

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety." | PSNet

psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and

August 26, 2011 - Commentary Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…

Discrimination, abuse, harassment, and burnout in surgical residency training. | PSNet

psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training

May 06, 2020 - Study Classic Discrimination, abuse, harassment, and burnout in surgical residency training. Citation Text: Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …

Impact of sleep deficiency on surgical performance: a prospective assessment. | PSNet

psnet.ahrq.gov/issue/impact-sleep-deficiency-surgical-performance-prospective-assessment

November 29, 2023 - Study Impact of sleep deficiency on surgical performance: a prospective assessment. Citation Text: Quan SF, Landrigan CP, Barger LK, et al. Impact of sleep deficiency on surgical performance: a prospective assessment. J Clin Sleep Med. 2023;19(4):673-683. doi:10.5664/jcsm.10406. Copy C…

An objective methodology for task analysis and workload assessment in anesthesia providers. | PSNet

psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers

February 19, 2010 - Study Classic An objective methodology for task analysis and workload assessment in anesthesia providers. Citation Text: Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. An…

An estimate of missed pediatric sepsis in the emergency department. | PSNet

psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department

December 08, 2021 - Study An estimate of missed pediatric sepsis in the emergency department. Citation Text: Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. Copy Citation Format:…

Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. | PSNet

psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance

May 19, 2018 - Study Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. Citation Text: Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measu…

Meaningful use of health information technology and declines in in-hospital adverse drug events. | PSNet

psnet.ahrq.gov/issue/meaningful-use-health-information-technology-and-declines-hospital-adverse-drug-events

November 28, 2012 - Study Meaningful use of health information technology and declines in in-hospital adverse drug events. Citation Text: Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;…

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. | PSNet

psnet.ahrq.gov/issue/determination-unnecessary-blood-transfusion-comprehensive-15-hospital-record-review

October 27, 2021 - Study Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Citation Text: Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):4…

Search AHRQ

Results