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7501. Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet
      psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
      July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

7502. Examples of Urinary Incontinence Intervention Sustainability Menus (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/empower-sustainability-menus.pdf
      June 02, 2025 - Examples of Urinary Incontinence Intervention Sustainability Menus ``` Examples of Urinary Incontinence Intervention Sustainability Menus EMPOWER Team – University Hospitals …

7503. Nursing student errors and near misses: three years of data. | PSNet
      psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
      October 20, 2021 - Study Nursing student errors and near misses: three years of data. Citation Text: Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. Copy Citation Format: DOI Google Scholar…

7504. FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. | PSNet
      psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporary-absence-warning-statement-vial-caps-two
      June 22, 2011 - Press Release/Announcement FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. Citation Text: FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two n…

7505. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-approach-inpatient-medication-reconciliation-academic-setting
      January 05, 2017 - Study Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Citation Text: Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4. …

7506. Using Medical Emergency Teams to detect preventable adverse events. | PSNet
      psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
      December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

7507. The practice of medicine: understanding diagnostic error. | PSNet
      psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
      July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

7508. Medication safety in the neonatal intensive care unit: big measures for our smallest patients. | PSNet
      psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
      September 18, 2024 - Commentary Medication safety in the neonatal intensive care unit: big measures for our smallest patients. Citation Text: Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…

7509. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201709.html
      June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety Search All Impact Case Studies June 2017 St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…

7510. Expected and unanticipated consequences of the quality and information technology revolutions. | PSNet
      psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
      March 02, 2011 - Commentary Classic Expected and unanticipated consequences of the quality and information technology revolutions. Citation Text: Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3…

7511. Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. | PSNet
      psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
      October 21, 2015 - Study Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…

7512. Observational study of drug formulation manipulation in pediatric versus adult inpatients. | PSNet
      psnet.ahrq.gov/issue/observational-study-drug-formulation-manipulation-pediatric-versus-adult-inpatients
      June 08, 2022 - Study Observational study of drug formulation manipulation in pediatric versus adult inpatients. Citation Text: Spishock S, Meyers R, Robinson CA, et al. Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients. J Patient Saf. 2021;17(1):e10-e14. doi:10.1…

7513. Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet
      psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review
      October 31, 2011 - Review Speaking up for patient safety by hospital-based health care professionals: a literature review. Citation Text: Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.…

7514. The impact of interruptions on medication errors in hospitals: an observational study of nurses. | PSNet
      psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
      November 15, 2017 - Study The impact of interruptions on medication errors in hospitals: an observational study of nurses. Citation Text: Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…

7515. Medication administration and interruptions in nursing homes: a qualitative observational study. | PSNet
      psnet.ahrq.gov/issue/medication-administration-and-interruptions-nursing-homes-qualitative-observational-study
      March 15, 2023 - Study Medication administration and interruptions in nursing homes: a qualitative observational study. Citation Text: Odberg KR, Hansen BS, Aase K, et al. Medication administration and interruptions in nursing homes: A qualitative observational study. J Clin Nurs. 2018;27(5-6):1113-1124.…

7516. Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
      October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…

7517. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care
      March 10, 2011 - Study Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. Citation Text: Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…

7518. Guideline for opioid therapy and chronic noncancer pain. | PSNet
      psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
      June 17, 2014 - Review Guideline for opioid therapy and chronic noncancer pain. Citation Text: Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363. Copy Citation Format: DOI Google Scholar P…

7519. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
      April 18, 2018 - Review Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.…

7520. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet
      psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
      August 25, 2021 - Study Nurse burnout predicts self-reported medication administration errors in acute care hospitals. Citation Text: Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13…