AHRQ Search | Home Page

Perioperative medication errors: uncovering risk from behind the drapes. | PSNet

psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes

March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …

Southern Baptist Hospital of Florida v. Charles. | PSNet

psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles

May 20, 2009 - Legislation/Case Law Southern Baptist Hospital of Florida v. Charles. Citation Text: Southern Baptist Hospital of Florida v. Charles. Fla Ct App, 1st Dist. October 28, 2015. Copy Citation Save Save to your library Print Download PDF Share F…

Health literacy and patient safety events. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-patient-safety-events

January 11, 2017 - Newspaper/Magazine Article Health literacy and patient safety events. Citation Text: Gardner LA. Health literacy and patient safety events. PA-PSRS Patient Saf Advis. 2016;13(2):58-65. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Insulin pumps have most reported problems in FDA database. | PSNet

psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database

October 03, 2018 - Newspaper/Magazine Article Insulin pumps have most reported problems in FDA database. Citation Text: Insulin pumps have most reported problems in FDA database. Mohr H, Weiss M. Associated Press. November 27, 2018. Copy Citation Save Save to your library Prin…

Your high-alert medication list—relatively useless without associated risk-reduction strategies. | PSNet

psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction

May 07, 2014 - Newspaper/Magazine Article Your high-alert medication list—relatively useless without associated risk-reduction strategies. Citation Text: Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…

Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. | PSNet

psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug

June 10, 2018 - Newspaper/Magazine Article Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. Citation Text: Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. ISMP Medication Safety…

Survey results: community liaison programs to decrease hospital readmissions. | PSNet

psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions

June 10, 2018 - Newspaper/Magazine Article Survey results: community liaison programs to decrease hospital readmissions. Citation Text: Survey results: community liaison programs to decrease hospital readmissions. ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3. Copy Citation …

Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. | PSNet

psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared

June 10, 2018 - Newspaper/Magazine Article Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. Citation Text: Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. …

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances

June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. | PSNet

psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision

December 09, 2020 - Book/Report Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Citation Text: Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of C…

Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. | PSNet

psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease

December 21, 2022 - Press Release/Announcement Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. Citation Text: Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …

An improvement approach to integrate teaching teams in the reporting of safety events. | PSNet

psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events

September 23, 2020 - Study An improvement approach to integrate teaching teams in the reporting of safety events. Citation Text: Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. Co…

Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet

psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples

October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…

Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet

psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports

July 08, 2020 - Study Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Citation Text: Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. Copy …

Increasing physician reporting of diagnostic learning opportunities. | PSNet

psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities

March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis

September 23, 2020 - Commentary Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. Citation Text: Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…

Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient

February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

Using a learning system approach to improve safety for prone-position ventilation patients. | PSNet

psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients

January 10, 2024 - Study Using a learning system approach to improve safety for prone-position ventilation patients. Citation Text: Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.10…

Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. | PSNet

psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots

November 29, 2023 - Study Emerging Classic Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. Citation Text: Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…

Accountability sought by patients following adverse events from medical care: the New Zealand experience. | PSNet

psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience

June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…

Search AHRQ

Results