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psnet.ahrq.gov/issue/opioid-related-critical-care-resource-use-us-childrens-hospitals
June 10, 2020 - Study
Emerging Classic
Opioid-related critical care resource use in US children's hospitals.
Citation Text:
Kane JM, Colvin JD, Bartlett AH, et al. Opioid-Related Critical Care Resource Use in US Children's Hospitals. Pediatrics. 2018;141(4):e20173335. doi:10.15…
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psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-clinical-care
December 21, 2022 - Commentary
Patient safety and artificial intelligence in clinical care.
Citation Text:
Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514.
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psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
July 24, 2024 - Study
Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest eve…
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psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - Study
The effect of a clinical decision support for pending laboratory results at emergency department discharge.
Citation Text:
Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…
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digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
January 01, 2011 - Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011
Project Name
State and Regional Demonstration in Health Information Technology: Utah
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0334_08-04-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0285
Document Completion Date: 3-22-11
1
Results of Topic Selection Process & Next Steps
Pharmacogenetic testing for CYP2C19 variants for guiding antiplatelet treatment will go forward for
refinement as a systematic review. The scope of this topic, including p…
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential care facilities.
Citation Text:
McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128.
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psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
March 17, 2021 - Study
Uncertain diagnoses in a children's hospital: patient characteristics and outcomes.
Citation Text:
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
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psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice
July 01, 2020 - Review
Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.
Citation Text:
Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…
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psnet.ahrq.gov/issue/user-centered-collaborative-design-and-development-inpatient-safety-dashboard
July 24, 2017 - Commentary
User-centered collaborative design and development of an inpatient safety dashboard.
Citation Text:
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. do…
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psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission
March 18, 2015 - Study
Classic
Unintended medication discrepancies at the time of hospital admission.
Citation Text:
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9.
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psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
August 18, 2010 - Study
Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.
Citation Text:
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…
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psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
October 19, 2022 - Study
Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study.
Citation Text:
Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/1…
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psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
June 19, 2024 - Study
Using patient safety reporting systems to understand the clinical learning environment: a content analysis.
Citation Text:
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. J Surg Educ.…
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psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
January 22, 2014 - Review
Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.
Citation Text:
Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…
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psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review
December 03, 2014 - Study
Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.
Citation Text:
Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …
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psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
October 19, 2022 - Study
Educational targets to reduce medication errors by general surgery residents.
Citation Text:
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
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psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
November 16, 2022 - Study
Cultural transformation after implementation of crew resource management: is it really possible?
Citation Text:
Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390…
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psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
August 21, 2024 - Study
The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care.
Citation Text:
Lekman J, Lindén E, Ekstedt M. The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. Scand J Caring Sci. 2023;37(4):1…
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www.ahrq.gov/news/newsroom/case-studies/201601.html
January 01, 2018 - North Carolina’s CaroMont Regional Medical Center Uses AHRQ Toolkit to Reduce Urinary Infections
Search All Impact Case Studies
March 2016
CaroMont Regional Medical Center (CRMC), a 435-bed, not-for-profit hospital in Gastonia, North Carolina, significantly reduced catheter-associated urinary tract infectio…