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  1. Standing Order Protocol: Nasal Mupirocin (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standing-order-protocol-mupirocin.docx
    March 01, 2022 - Standing Order Protocol: Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Section 9-3 – Standing Order Protocol: Nasal Mupirocin The following is a standing order protocol for implementing nasal decolonization in adult non-intensive care unit (ICU) patients who are methicillin-resistant Staphylococcus…

  2. Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. | PSNet

    psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
    May 20, 2019 - Study Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. Citation Text: Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Elect…

  3. Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

    psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
    January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

  4. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet

    psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
    August 19, 2020 - Study Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Citation Text: Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of…

  5. Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study. | PSNet

    psnet.ahrq.gov/issue/dual-health-care-system-use-and-high-risk-prescribing-patients-dementia-national-cohort-study
    July 02, 2019 - Study Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study. Citation Text: Thorpe JM, Thorpe CT, Gellad WF, et al. Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study. Ann Intern Med.…

  6. Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
    July 19, 2023 - Study Missing clinical and behavioral health data in a large electronic health record (EHR) system. Citation Text: Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-114…

  7. A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. | PSNet

    psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
    September 20, 2012 - Study A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. Citation Text: Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Hea…

  8. Exploring approaches to patient safety: the case of spinal manipulation therapy. | PSNet

    psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy
    September 11, 2024 - Study Exploring approaches to patient safety: the case of spinal manipulation therapy. Citation Text: Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. Cop…

  9. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. | PSNet

    psnet.ahrq.gov/issue/elevated-mortality-among-weekend-hospital-admissions-not-associated-adoption-seven-day
    July 21, 2017 - Study Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Citation Text: Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med …

  10. Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet

    psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
    March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…

  11. Identification of in-hospital complications from claims data. Is it valid? | PSNet

    psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
    June 13, 2011 - Study Classic Identification of in-hospital complications from claims data. Is it valid? Citation Text: Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. Copy Cit…

  12. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

    psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
    October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

  13. Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. | PSNet

    psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event
    February 15, 2011 - Study Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. Citation Text: Ferranti J, Horvath MM, Cozart H, et al. Reevaluating the safety profile of pediatrics: a comparison of…

  14. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. | PSNet

    psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80
    May 04, 2010 - Study Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Citation Text: Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Sys…

  15. Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. | PSNet

    psnet.ahrq.gov/issue/recommendations-individualized-medical-treatment-and-common-adverse-events-management-lung
    March 24, 2019 - Commentary Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. Citation Text: Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse event…

  16. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

    psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
    February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

  17. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

    psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
    March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

  18. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

    psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
    December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

  19. Quality Improvement Study Framework (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
    June 02, 2025 - Quality Improvement Study Framework 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 after the data have been analyzed. · Speculating about the cause of a problem before a th…

  20. Pharmacists’ perceptions of error reporting systems. | PSNet

    psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
    November 09, 2016 - Study Pharmacists’ perceptions of error reporting systems. Citation Text: Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. Copy Citation Format: DOI Go…
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