AHRQ Search | Home Page

Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet

psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center

March 16, 2022 - Book/Report Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Citation Text: Washington, DC: VA Office of Inspector General; March 17, 2022. Copy Citation Save Save to your library Print …

Bringing the equity lens to patient safety event reporting. | PSNet

psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting

November 09, 2005 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …

Error in medicine. | PSNet

psnet.ahrq.gov/issue/error-medicine

December 09, 2009 - Commentary Classic Error in medicine. Citation Text: Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Disclosure through our eyes. | PSNet

psnet.ahrq.gov/issue/disclosure-through-our-eyes

September 01, 2005 - Commentary Disclosure through our eyes. Citation Text: Sheridan S, Conrad N, King S, et al. Disclosure Through Our Eyes. J Patient Saf. 2008;4(1):18-26. doi:10.1097/pts.0b013e31816543cc. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian

January 24, 2024 - Study Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. Citation Text: Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a C…

Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet

psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events

August 10, 2022 - Study Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. Citation Text: Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to hi…

Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. | PSNet

psnet.ahrq.gov/issue/oral-chemotherapy-home-safety-educational-framework-healthcare-providers-patients-and

August 04, 2021 - Review Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. Citation Text: Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.…

Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. | PSNet

psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse

December 09, 2009 - Review Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Citation Text: Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.…

Disclosure of adverse events in pediatrics. | PSNet

psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics

January 25, 2017 - Organizational Policy/Guidelines Disclosure of adverse events in pediatrics. Citation Text: McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. Copy Cit…

Handoff Communication Tools. | PSNet

psnet.ahrq.gov/issue/handoff-communication-tools

May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

The less-discussed consequence of healthcare's labor shortage. | PSNet

psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage

April 12, 2023 - Newspaper/Magazine Article The less-discussed consequence of healthcare's labor shortage. Citation Text: Bean M, Masson G. Becker's Hospital Review. October 4, 2021. Copy Citation Save Save to your library Print Share Facebook Twitter …

Implementing an error disclosure coaching model: a multicenter case study. | PSNet

psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study

May 13, 2015 - Study Implementing an error disclosure coaching model: a multicenter case study. Citation Text: White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. Copy Citati…

Safety in the NICU: preventing medication errors with computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/safety-nicu-preventing-medication-errors-computerized-provider-order-entry

March 27, 2005 - Commentary Safety in the NICU: preventing medication errors with computerized provider order entry. Citation Text: Donze A; Wolf M. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

Adverse drug events caused by serious medication administration errors. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors

May 16, 2007 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons

November 12, 2014 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

Patient safety: a consumer's perspective. | PSNet

psnet.ahrq.gov/issue/patient-safety-consumers-perspective

January 12, 2022 - Study Patient safety: a consumer's perspective. Citation Text: Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review

January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

The tension between needing to improve care and knowing how to do it. | PSNet

psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it

January 02, 2008 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. | PSNet

psnet.ahrq.gov/issue/patient-safety-during-anaesthesia-incorporation-who-safe-surgery-guidelines-clinical-practice

November 24, 2010 - Review Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. Citation Text: Schlack WS, Boermeester MA. Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. Curr Opin Anaesthesi…

Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet

psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures

October 24, 2012 - Study Process changes to increase compliance with the Universal Protocol for bedside procedures. Citation Text: Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…

Search AHRQ

Results