-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
July 01, 2023 - Culture Checkup Tool
AHRQ Safety Program for Perinatal Care
Problem statement: Improving safety culture in a patient care area takes time.
What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess…
-
psnet.ahrq.gov/issue/patient-safety-vulnerabilities-children-intellectual-disability-hospital-systematic-review
March 16, 2022 - Review
Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis.
Citation Text:
Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic r…
-
psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
March 12, 2025 - Study
Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out?
Citation Text:
Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …
-
psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
February 03, 2011 - Study
Classic
Medication errors in neonatal and paediatric intensive-care units.
Citation Text:
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/personal-digital-assistant-based-drug-information-sources-potential-improve-medication-safety
July 14, 2010 - Study
Personal digital assistant-based drug information sources: potential to improve medication safety.
Citation Text:
Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):22…
-
psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity
February 28, 2011 - Study
Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?
Citation Text:
Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…
-
psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
July 20, 2011 - Study
Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment.
Citation Text:
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…
-
psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
November 16, 2022 - Review
Quality and the health system: becoming a high reliability organization.
Citation Text:
Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010.
Copy Citation
…
-
psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
November 29, 2023 - Study
Agreement of expert judgment in causality assessment of adverse drug reactions.
Citation Text:
Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73.
Copy Citation
…
-
psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
January 15, 2009 - Study
The medical emergency team system: a two hospital comparison.
Citation Text:
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
September 23, 2020 - Study
How often do physicians review medication charts on ward rounds?
Citation Text:
Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9.
Copy Citation
Format:
DOI Google Scholar PubM…
-
psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error.
Citation Text:
Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide
Study Elements
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
Avoid suggesting causes in the purpose statement. Cause determination will come later afte…
-
psnet.ahrq.gov/issue/reducing-error-anticoagulant-dosing-multidisciplinary-team-rounding-point-care
November 16, 2016 - Study
Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care.
Citation Text:
Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…
-
psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
-
psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care
April 11, 2011 - Study
Patient safety problems in adolescent medical care.
Citation Text:
Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/zxXWqacXvfKPyQB9LCrZjX
August 01, 2008 - See the Figure for a summary of this recommendation
and suggestions for clinical practice. … Suggestions for Practice
Given the uncertainties and controversy surrounding
prostate cancer screening … Suggestions for practice
Balance of harm
s
and benefits
A
list of U
SPSTF recom
m
endations on … What the USPSTF Grades Mean and Suggestions for Practice
Grade Definition Suggestions for Practice
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/RyyuauSH7K-HPXD6tgx2xu
July 01, 2008 - See the Figure for a summary of this recommendation
and suggestions for clinical practice. … Preventive Services Task Force (USPSTF) Grades Mean and Suggestions for Practice
Grade Definition Suggestions
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/ykFSVS29KAwKzFWSXAVoMY
June 01, 2009 - See the Figure for a summary of the recommendation
and suggestions for clinical practice. … What the USPSTF Grades Mean and Suggestions for Practice
Grade Definition Suggestions for Practice
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/xw8Xj4Bts4yaj_ZaBjCuer
May 01, 2009 - See the Figure for a summary of the recommendation
and suggestions for clinical practice. … What the USPSTF Grades Mean and Suggestions for Practice
Grade Definition Suggestions for Practice