AHRQ Search | Home Page

Implementation of bar-code medication administration to reduce patient harm. | PSNet

psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm

September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

Anti-black racism as a chronic condition. | PSNet

psnet.ahrq.gov/issue/anti-black-racism-chronic-condition

December 17, 2020 - Commentary Anti-black racism as a chronic condition. Citation Text: Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-s29. doi:10.1002/hast.1364. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

Incidence of prescription errors in patients discharged from the emergency department. | PSNet

psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department

March 30, 2022 - Study Incidence of prescription errors in patients discharged from the emergency department. Citation Text: Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…

Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. | PSNet

psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room

March 18, 2013 - Study Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. Citation Text: Buzink SN, van Lier L, de Hingh IHJT, et al. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the…

The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet

psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals

January 19, 2022 - Study The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Citation Text: Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…

Standardization and visualization of the surgical time-out. | PSNet

psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out

November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery

October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. | PSNet

psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study

March 09, 2022 - Study Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Citation Text: Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. | PSNet

psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians

April 16, 2018 - Study Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. Citation Text: Davidenko JM, Snyder LS. Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. J Electrocardiol. 2007;40(5):450-6. Copy Citation …

SAFER Care: improving caregiver comprehension of discharge instructions. | PSNet

psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions

October 26, 2022 - Study SAFER Care: improving caregiver comprehension of discharge instructions. Citation Text: Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. Copy Citation Fo…

Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. | PSNet

psnet.ahrq.gov/issue/surgeons-leadership-style-and-team-behavior-hybrid-operating-room-prospective-cohort-study

August 31, 2022 - Study Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Citation Text: Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e…

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum

August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. | PSNet

psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental

September 05, 2018 - Study Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Citation Text: Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…

Patient perception of fall risk and fall risk screening scores. | PSNet

psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores

December 07, 2022 - Study Patient perception of fall risk and fall risk screening scores. Citation Text: Solares NP, Calero P, Connelly CD. Patient perception of fall risk and fall risk screening scores. J Nurs Care Qual. 2023;38(2):100-106. doi:10.1097/ncq.0000000000000645. Copy Citation Format: …

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. | PSNet

psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology

August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…

Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center

May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. | PSNet

psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing

June 23, 2009 - Study Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Citation Text: Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…

Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. | PSNet

psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center

September 30, 2020 - Book/Report Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Citation Text: Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…

Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. | PSNet

psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians

March 02, 2022 - Commentary Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. Citation Text: Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries

August 20, 2018 - Study Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Citation Text: Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…

Search AHRQ

Results