AHRQ Search | Home Page

Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort

January 02, 2017 - Study Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Citation Text: Paine LA, Rosenstein BJ, Sexton B, et al. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf He…

A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet

psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients

April 06, 2022 - Study A recent two-fold increase in medical adverse event deaths among US inpatients. Citation Text: Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. Copy…

A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial

October 21, 2010 - Study A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Citation Text: Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;…

Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014-user-comparative-database-report

April 23, 2014 - Book/Report Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. Citation Text: Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research a…

Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet

psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals

July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks in hospitals. Citation Text: Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. Copy …

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review

January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement

August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research and quality improvement. Citation Text: Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…

Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. | PSNet

psnet.ahrq.gov/issue/multilevel-factors-associated-time-biopsy-after-abnormal-screening-mammography-results-race

March 24, 2021 - Study Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. Citation Text: Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race…

Patient safety issues from information overload in electronic medical records. | PSNet

psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records

May 04, 2022 - Review Patient safety issues from information overload in electronic medical records. Citation Text: Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. C…

Disciplinary action by medical boards and prior behavior in medical schools. | PSNet

psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools

October 19, 2022 - Study Classic Disciplinary action by medical boards and prior behavior in medical schools. Citation Text: Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82…

Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review

March 22, 2023 - Review Clinical nurse competence and its effect on patient safety culture: a systematic review. Citation Text: Zaitoun RA, Said NB, de Tantillo L. Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nurs. 2023;22(1):173. doi:10.1186/s12912-023-013…

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program

November 15, 2023 - Study Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. Citation Text: Battar S, Dickerson KRW, Sedgwick C, et al. Understand…

Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial. | PSNet

psnet.ahrq.gov/issue/increased-adherence-perioperative-safety-guidelines-associated-improved-patient-safety

April 05, 2023 - Study Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial. Citation Text: Emond YEJJM, Calsbeek H, Peters YAS, et al. Increased adherence to perioperative safety guidelines associat…

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary

May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …

Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. | PSNet

psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation

April 15, 2020 - Study Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. Citation Text: Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation impro…

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-legal-settlements-us-2009-health-information-technology-economic-and

August 24, 2022 - Study Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. Citation Text: Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…

Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. | PSNet

psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare

February 14, 2024 - Study Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. Citation Text: Lammers EJ, McLaughlin CG, Barna M. Physician EHR Adoption and Potentially Preventable Hospital Admissions among Medicare Beneficiarie…

Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. | PSNet

psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and

November 03, 2010 - Commentary Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. Citation Text: Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation

September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

Search AHRQ

Results