AHRQ Search | Home Page

A method for measuring system safety and latent errors associated with pediatric procedural sedation. | PSNet

psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation

April 11, 2011 - Study A method for measuring system safety and latent errors associated with pediatric procedural sedation. Citation Text: Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2…

Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet

psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system

July 14, 2018 - Study Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Citation Text: Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…

Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration

May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. | PSNet

psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart

August 18, 2021 - Study Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. Citation Text: Puri K, Singh H, Denfield SW, et al. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease…

Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics

August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…

Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action

November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey

May 18, 2022 - Study Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Citation Text: Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. Copy Citati…

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…

Supporting the emotional well-being of health care workers during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/supporting-emotional-well-being-health-care-workers-during-covid-19-pandemic

October 14, 2020 - Commentary Emerging Classic Supporting the emotional well-being of health care workers during the COVID-19 pandemic. Citation Text: Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patien…

Surveillance of medical device-related hazards and adverse events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients

March 11, 2011 - Study Classic Surveillance of medical device-related hazards and adverse events in hospitalized patients. Citation Text: Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…

What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. | PSNet

psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee

June 24, 2020 - Commentary What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. Citation Text: Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet

psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass

September 23, 2020 - Study Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Citation Text: Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS acros…

What causes delays in diagnosing blood cancers? A rapid review of the evidence. | PSNet

psnet.ahrq.gov/issue/what-causes-delays-diagnosing-blood-cancers-rapid-review-evidence

August 14, 2019 - Review What causes delays in diagnosing blood cancers? A rapid review of the evidence. Citation Text: Black GB, Boswell L, Harris J, et al. What causes delays in diagnosing blood cancers? A rapid review of the evidence. Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129…

Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. | PSNet

psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu

February 06, 2019 - Study Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Citation Text: Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Sa…

Patient safety in nursing homes from an ecological perspective: an integrated review. | PSNet

psnet.ahrq.gov/issue/patient-safety-nursing-homes-ecological-perspective-integrated-review

December 07, 2022 - Review Patient safety in nursing homes from an ecological perspective: an integrated review. Citation Text: Min D, Park S, Kim S, et al. Patient safety in nursing homes from an ecological perspective: an integrated review. J Patient Saf. 2024;20(2):77-84. doi:10.1097/pts.0000000000001189…

What are we missing? The quality of intraoperative handover before and after introduction of a checklist. | PSNet

psnet.ahrq.gov/issue/what-are-we-missing-quality-intraoperative-handover-and-after-introduction-checklist

January 12, 2022 - Study What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Citation Text: Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Can J Anaesth. 2022;6…

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet

psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual

March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

Inter-hospital transfer is an independent risk factor for hospital-associated infection. | PSNet

psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection

August 26, 2011 - Study Inter-hospital transfer is an independent risk factor for hospital-associated infection. Citation Text: Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:…

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet

psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned

May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

Physician perspectives on addressing anti-Black racism. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-black-racism

July 26, 2023 - Study Physician perspectives on addressing anti-Black racism. Citation Text: Brown CE, Marshall AR, Cueva KL, et al. Physician perspectives on addressing anti-Black racism. JAMA Netw Open. 2024;7(1):e2352818. doi:10.1001/jamanetworkopen.2023.52818. Copy Citation Format: DOI…

Search AHRQ

Results