AHRQ Search | Home Page

Doctors' experiences of adverse events in secondary care: the professional and personal impact. | PSNet

psnet.ahrq.gov/issue/doctors-experiences-adverse-events-secondary-care-professional-and-personal-impact

April 10, 2019 - Study Doctors' experiences of adverse events in secondary care: the professional and personal impact. Citation Text: Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10…

Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet

psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection

April 12, 2019 - Study Enhanced free-text search for aggregated medication error report analysis and risk detection. Citation Text: Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi…

The effects of power, leadership and psychological safety on resident event reporting. | PSNet

psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting

November 16, 2022 - Study The effects of power, leadership and psychological safety on resident event reporting. Citation Text: Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…

To forgive, divine. | PSNet

psnet.ahrq.gov/issue/forgive-divine

November 11, 2020 - Commentary To forgive, divine. Citation Text: Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Surgical checklists: the human factor. | PSNet

psnet.ahrq.gov/issue/surgical-checklists-human-factor

December 10, 2014 - Study Surgical checklists: the human factor. Citation Text: O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

A growth mindset approach to preparing trainees for medical error. | PSNet

psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error

August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. | PSNet

psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric

March 08, 2023 - Study Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Citation Text: Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …

Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet

psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model

January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds model. Citation Text: Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…

Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet

psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer

November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. | PSNet

psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event

January 24, 2018 - Commentary Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. Citation Text: Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-posi…

An automated, dynamic radiation oncology prescription checking system. | PSNet

psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system

October 27, 2010 - Study An automated, dynamic radiation oncology prescription checking system. Citation Text: Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. Copy Citation…

Considerations for the design of safe and effective consumer health IT applications in the home. | PSNet

psnet.ahrq.gov/issue/considerations-design-safe-and-effective-consumer-health-it-applications-home

September 24, 2016 - Study Considerations for the design of safe and effective consumer health IT applications in the home. Citation Text: Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…

Advancing the next generation of handover research and practice with cognitive load theory. | PSNet

psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory

November 10, 2021 - Commentary Advancing the next generation of handover research and practice with cognitive load theory. Citation Text: Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…

Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry

January 01, 2019 - Study Residency training in handoffs: a survey of program directors in psychiatry. Citation Text: Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. Copy Citat…

Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients

March 25, 2017 - Commentary Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. Citation Text: Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end trans…

STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet

psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors

June 26, 2019 - Study STAMP: a 5-year project to reduce paediatric prescribing errors. Citation Text: Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. Copy Citation …

The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge

February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and

September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

Breast cancer screening and overdiagnosis. | PSNet

psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis

March 16, 2022 - Study Breast cancer screening and overdiagnosis. Citation Text: Bulliard J‐L, Beau A‐B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer. 2021;149(4):846-853. doi:10.1002/ijc.33602. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. | PSNet

psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go

August 24, 2016 - Commentary Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. Citation Text: Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.11…

Search AHRQ

Results