AHRQ Search | Home Page

The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet

psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework

March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration framework. Citation Text: Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…

Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. | PSNet

psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience

September 05, 2009 - Study Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. Citation Text: Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. | PSNet

psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite

April 13, 2011 - Study The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. Citation Text: Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…

Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit

September 29, 2010 - Study Sensemaking, safety, and cooperative work in the intensive care unit. Citation Text: Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. Copy Citation Format:…

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. | PSNet

psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance

August 04, 2021 - Study Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. Citation Text: Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…

Determinants of success of quality improvement collaboratives: what does the literature show? | PSNet

psnet.ahrq.gov/issue/determinants-success-quality-improvement-collaboratives-what-does-literature-show

May 22, 2013 - Study Determinants of success of quality improvement collaboratives: what does the literature show? Citation Text: Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives: what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:…

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. | PSNet

psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting

August 04, 2021 - Study A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. Citation Text: Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann E…

Innovative use of the electronic health record to support harm reduction efforts. | PSNet

psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts

July 31, 2013 - Study Innovative use of the electronic health record to support harm reduction efforts. Citation Text: Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410. Copy Citatio…

Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? | PSNet

psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna

March 12, 2025 - Study Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? Citation Text: Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. | PSNet

psnet.ahrq.gov/issue/patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and

July 08, 2020 - Study Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. Citation Text: McMullan M, Jones R, Lea S. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. J Adv Nurs. 2010;66(4). …

A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. | PSNet

psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education

August 10, 2022 - Study A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. Citation Text: Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …

The impact of interruptions on clinical task completion. | PSNet

psnet.ahrq.gov/issue/impact-interruptions-clinical-task-completion

September 26, 2016 - Study The impact of interruptions on clinical task completion. Citation Text: Westbrook JI, Coiera E, Dunsmuir WTM, et al. The impact of interruptions on clinical task completion. Qual Saf Health Care. 2010;19(4):284-9. doi:10.1136/qshc.2009.039255. Copy Citation Format: DO…

Evaluation of contextual influences on the medication administration practice of paediatric nurses. | PSNet

psnet.ahrq.gov/issue/evaluation-contextual-influences-medication-administration-practice-paediatric-nurses

January 20, 2021 - Study Evaluation of contextual influences on the medication administration practice of paediatric nurses. Citation Text: Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …

Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet

psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist

September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

Patient safety in obstetrics: what aviators, firefighters and others can teach us. | PSNet

psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us

January 22, 2017 - Commentary Patient safety in obstetrics: what aviators, firefighters and others can teach us. Citation Text: Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…

Abdominal pain in the emergency department: missed diagnoses. | PSNet

psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses

September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. | PSNet

psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical

February 27, 2014 - Study Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Citation Text: Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…

Managing intraoperative stress: what do surgeons want from a crisis training program? | PSNet

psnet.ahrq.gov/issue/managing-intraoperative-stress-what-do-surgeons-want-crisis-training-program

February 10, 2010 - Study Managing intraoperative stress: what do surgeons want from a crisis training program? Citation Text: Arora S, Sevdalis N, Nestel D, et al. Managing intraoperative stress: what do surgeons want from a crisis training program? Am J Surg. 2009;197(4):537-43. doi:10.1016/j.amjsurg.20…

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." | PSNet

psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized

April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…

A case of mistaken identity: staff input on patient ID errors. | PSNet

psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors

March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …

Search AHRQ

Results