AHRQ Search | Home Page

Quality and safety: learning from the past and (re)imagining the future. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future

June 15, 2022 - Commentary Quality and safety: learning from the past and (re)imagining the future. Citation Text: Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008. Copy C…

Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. | PSNet

psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-meta-analysis

June 26, 2019 - Review Emerging Classic Accuracy of computer-aided diagnosis of melanoma: a meta-analysis. Citation Text: Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1…

A high-reliability organization mindset. | PSNet

psnet.ahrq.gov/issue/high-reliability-organization-mindset

April 01, 2020 - Commentary A high-reliability organization mindset. Citation Text: Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. Copy Citation Format: DOI Google Scholar BibTeX En…

Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department

October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

Suffering in silence: medical error and its impact on health care providers. | PSNet

psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers

December 12, 2014 - Review Suffering in silence: medical error and its impact on health care providers. Citation Text: Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001. Copy Citation Format: …

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. Citation Text: Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. | PSNet

psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment

May 25, 2010 - Commentary Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. Citation Text: Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…

Standardization in patient safety: the WHO High 5s project. | PSNet

psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project

January 12, 2022 - Commentary Standardization in patient safety: the WHO High 5s project. Citation Text: Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010. Copy Citation Format: …

Improving team members' attention during the OR briefing or time out. | PSNet

psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out

November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

Transformational leadership in nursing and medication safety education: a discussion paper. | PSNet

psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper

September 08, 2021 - Commentary Transformational leadership in nursing and medication safety education: a discussion paper. Citation Text: Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper. J Nurs Manag. 2016;24(7):970-980…

The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. | PSNet

psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive

November 21, 2021 - Study The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. Citation Text: Inokuchi R, Sato H, Nanjo Y, et al. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in…

Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet

psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons

July 02, 2014 - Study Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Citation Text: Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …

The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care

November 16, 2022 - Study The Human Factors Analysis Classification System (HFACS) applied to health care. Citation Text: Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …

Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital

March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

Medication errors reported in a pediatric intensive care unit for oncologic patients. | PSNet

psnet.ahrq.gov/issue/medication-errors-reported-pediatric-intensive-care-unit-oncologic-patients

September 20, 2011 - Study Medication errors reported in a pediatric intensive care unit for oncologic patients. Citation Text: Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b0…

Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet

psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements

September 29, 2017 - Study Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Citation Text: Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …

Medical students' experiences, perceptions, and management of second victim: an interview study. | PSNet

psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study

March 05, 2014 - Study Medical students' experiences, perceptions, and management of second victim: an interview study. Citation Text: Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…

Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. | PSNet

psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center

February 10, 2021 - Book/Report Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. Citation Text: Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children

January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. Citation Text: Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study.…

The problem with…using stories as a source of evidence and learning. | PSNet

psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning

June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …

Search AHRQ

Results