AHRQ Search | Home Page

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient

September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical

January 28, 2009 - Study A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…

Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error

June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. | PSNet

psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork

June 24, 2015 - Study Classic Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Citation Text: Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…

A systematic review to evaluate the accuracy of electronic adverse drug event detection. | PSNet

psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection

October 05, 2011 - Study A systematic review to evaluate the accuracy of electronic adverse drug event detection. Citation Text: Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.113…

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet

psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition

August 10, 2011 - Study Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Citation Text: Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…

Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet

psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014

September 25, 2008 - Study Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Citation Text: Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…

Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet

psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary

October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…

Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet

psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality

March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

The cost of opioid–related adverse drug events. | PSNet

psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events

August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

In search of common ground in handoff documentation in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit

March 23, 2011 - Study In search of common ground in handoff documentation in an intensive care unit. Citation Text: Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers

September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. | PSNet

psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and

January 20, 2015 - Study The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. Citation Text: Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explain…

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and

April 21, 2015 - Review Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Citation Text: Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…

Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during

September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

Suicide attempts and completions on medical-surgical and intensive care units. | PSNet

psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units

June 21, 2017 - Study Suicide attempts and completions on medical-surgical and intensive care units. Citation Text: Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. Copy Citation Format…

Physician characteristics, attitudes, and use of computerized order entry. | PSNet

psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computerized-order-entry

February 17, 2011 - Study Physician characteristics, attitudes, and use of computerized order entry. Citation Text: Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. Copy Citation Format: Google Sc…

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet

psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional

January 19, 2022 - Study Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. Citation Text: Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…

Search AHRQ

Results