AHRQ Search | Home Page

Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet

psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors

June 27, 2018 - Study Making an infusion error: the second victims of infusion therapy-related medication errors. Citation Text: Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.00000000000…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and

March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

Race, postoperative complications, and death in apparently healthy children. | PSNet

psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children

August 10, 2022 - Study Classic Race, postoperative complications, and death in apparently healthy children. Citation Text: Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…

Does user-centred design affect the efficiency, usability and safety of CPOE order sets? | PSNet

psnet.ahrq.gov/issue/does-user-centred-design-affect-efficiency-usability-and-safety-cpoe-order-sets

October 31, 2011 - Study Does user-centred design affect the efficiency, usability and safety of CPOE order sets? Citation Text: Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.…

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. | PSNet

psnet.ahrq.gov/issue/mislabeled-units-umbilical-cord-blood-detected-quality-assurance-program-transplantation

October 19, 2022 - Study Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. Citation Text: McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…

Interventions to improve hand hygiene compliance in the ICU: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-icu-systematic-review

January 23, 2019 - Review Interventions to improve hand hygiene compliance in the ICU: a systematic review. Citation Text: Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. Copy Citation Form…

Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. | PSNet

psnet.ahrq.gov/issue/medication-errors-hospitals-literature-review-disruptions-nursing-practice-during-medication

August 26, 2015 - Review Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. Citation Text: Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication …

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-barriers-and-facilitators-perspectives-resident-physicians-and

October 23, 2024 - Study Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. Citation Text: Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pha…

Attitudes and practices related to clinical alarms: a follow-up survey. | PSNet

psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms-follow-survey

June 11, 2014 - Study Attitudes and practices related to clinical alarms: a follow-up survey. Citation Text: Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185. Copy Citation Format: …

Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature

June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature. Citation Text: Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. Copy Cit…

Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context

December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

Transfers of patient care between house staff on internal medicine wards: a national survey. | PSNet

psnet.ahrq.gov/issue/transfers-patient-care-between-house-staff-internal-medicine-wards-national-survey

August 15, 2018 - Study Transfers of patient care between house staff on internal medicine wards: a national survey. Citation Text: Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. …

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions

March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Intensive care unit alarms—how many do we need? | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need

March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. | PSNet

psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse

December 22, 2010 - Study Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. Citation Text: Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…

Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. | PSNet

psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical

March 16, 2016 - Study Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. Citation Text: Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…

Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/health-literacy-informed-communication-reduce-discharge-medication-errors-hospitalized

July 12, 2023 - Study Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. Citation Text: Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized…

Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. | PSNet

psnet.ahrq.gov/issue/faculty-member-review-and-feedback-using-sign-out-checklist-improving-intern-written-sign-out

February 15, 2017 - Study Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Citation Text: Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Acad Med. 2012;87(8):1125-31. do…

Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. | PSNet

psnet.ahrq.gov/issue/pediatric-medication-safety-adult-community-hospital-settings-glimpse-nationwide-practice

March 14, 2022 - Study Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. Citation Text: Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-…

Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. | PSNet

psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7

July 17, 2019 - Commentary Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Citation Text: Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …

Search AHRQ

Results