-
psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - Study
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.
Citation Text:
Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…
-
psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications
May 06, 2020 - Study
Adverse events related to accidental unintentional ingestions from cough and cold medications in children.
Citation Text:
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …
-
psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - Study
So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization.
Citation Text:
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …
-
psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
January 31, 2018 - Study
Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system.
Citation Text:
South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…
-
psnet.ahrq.gov/issue/chronic-hospital-nurse-understaffing-meets-covid-19-observational-study
September 27, 2017 - Study
Emerging Classic
Chronic hospital nurse understaffing meets COVID-19: an observational study.
Citation Text:
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Qual Saf. 2021;8(8):639-64…
-
psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
June 30, 2021 - Review
Measuring safety in older adult care homes: a scoping review of the international literature.
Citation Text:
Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…
-
psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Study
Emerging Classic
Evaluation of medication errors at the transition of care from an ICU to non-ICU location.
Citation Text:
Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…
-
psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
March 02, 2022 - Study
Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.
Citation Text:
Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …
-
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…
-
psnet.ahrq.gov/issue/nurses-perceptions-and-demands-regarding-covid-19-care-delivery-critical-care-units-and
March 09, 2022 - Study
Emerging Classic
Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.
Citation Text:
González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding…
-
psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention
September 24, 2017 - Study
"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Citation Text:
Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-c…
-
psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
Copy Citation
Format:
…
-
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 …
-
digital.ahrq.gov/research-method/review
January 01, 2025 - Review
Evaluation of the Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Clinical Decision Support Initiative: Findings and Recommendations for Future Initiatives
Citation
Dhopeshwarkar R, Freij M, Callaham M, Desai P, Dullabh P. Evaluation of the…
-
www.ahrq.gov/news/newsroom/press-releases/sepsis-report-to-congress.html
September 01, 2024 - AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care
Report finds the emergence of COVID-19 significantly changed the epidemiology of sepsis
Press Release Date: September 16, 2024
The number of sepsis-related inpatient stays at non-federal acute care hospitals in the United States increased …
-
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…
-
psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints
June 27, 2018 - Study
An intervention model that promotes accountability: peer messengers and patient/family complaints.
Citation Text:
Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…
-
psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - Study
Classic
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Citation Text:
Dykes PC, Rozenblum R, Dalal A, et a…
-
psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - Study
Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention.
Citation Text:
Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterio…
-
psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial
April 24, 2018 - Study
Classic
The impact of rudeness on medical team performance: a randomized trial.
Citation Text:
Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-…