-
psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - Study
Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Citation Text:
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…
-
psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-occupational-safety-climate-healthcare-multi
January 21, 2015 - Study
The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation.
Citation Text:
Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-l…
-
psnet.ahrq.gov/issue/improving-ambulatory-prescribing-safety-handheld-decision-support-system-randomized
July 30, 2014 - Study
Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.
Citation Text:
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…
-
psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
October 31, 2011 - Study
Frequency and clinical importance of pages sent to the wrong physician.
Citation Text:
Wong BM, Quan S, Cheung M, et al. Frequency and clinical importance of pages sent to the wrong physician. Arch Intern Med. 2009;169(11):1072-3. doi:10.1001/archinternmed.2009.117.
Copy Citation…
-
psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
November 17, 2021 - Study
The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.
Citation Text:
Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…
-
psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive
November 21, 2016 - Study
Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.
Citation Text:
Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…
-
psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
June 14, 2023 - Commentary
An organization-specific and modifiable inpatient safety composite measure.
Citation Text:
Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005.
Copy Cit…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
August 01, 2022 - CANDOR Event Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide a checklist for the required actions that need to be taken following an event.
Who should use this tool? The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated.
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event.
Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or
designee, unless otherwise indicated.
How to use this tool: Use the checklist to ensure that appropriate action is t…
-
psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
-
psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
August 04, 2021 - Study
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.
Citation Text:
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…
-
psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - Study
Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support.
Citation Text:
Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…
-
psnet.ahrq.gov/issue/improving-organizational-climate-quality-and-quality-care-does-membership-collaborative-help
December 14, 2016 - Study
Improving organizational climate for quality and quality of care: does membership in a collaborative help?
Citation Text:
Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Car…
-
psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
August 17, 2016 - Study
The nature and causes of unintended events reported at 10 internal medicine departments.
Citation Text:
Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
-
psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
January 31, 2024 - Study
Implementation of diagnostic pauses in the ambulatory setting.
Citation Text:
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
Copy Citation
Format:
D…
-
psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
February 15, 2023 - Commentary
Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience.
Citation Text:
Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…
-
psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - Commentary
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…
-
psnet.ahrq.gov/issue/preparing-clinicians-transitioning-patients-across-care-settings-and-home-through-simulation
August 04, 2021 - Commentary
Preparing clinicians for transitioning patients across care settings and into the home through simulation.
Citation Text:
Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home …
-
psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
-
psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - Commentary
Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond.
Citation Text:
Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…