AHRQ Search | Home Page

In search of common ground in handoff documentation in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit

March 23, 2011 - Study In search of common ground in handoff documentation in an intensive care unit. Citation Text: Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Educational targets to reduce medication errors by general surgery residents. | PSNet

psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents

October 19, 2022 - Study Educational targets to reduce medication errors by general surgery residents. Citation Text: Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. C…

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use

February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. | PSNet

psnet.ahrq.gov/issue/pediatric-patient-safety-events-during-hospitalization-approaches-accounting-institution

December 23, 2012 - Study Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. Citation Text: Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. He…

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet

psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis

March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. Citation Text: Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…

Risks of complications by attending physicians after performing nighttime procedures. | PSNet

psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures

February 14, 2018 - Study Classic Risks of complications by attending physicians after performing nighttime procedures. Citation Text: Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/ja…

Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet

psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000

February 22, 2019 - Review Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Citation Text: Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…

Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. | PSNet

psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology

July 19, 2018 - Review Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. Citation Text: Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…

Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. | PSNet

psnet.ahrq.gov/issue/patient-safety-perspectives-providers-and-nurses-experience-rural-ambulatory-care-practice

January 13, 2010 - Study Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. Citation Text: Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …

Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. | PSNet

psnet.ahrq.gov/issue/potential-benefit-electronic-pharmacy-claims-data-prevent-medication-history-errors-and

June 19, 2018 - Study Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors. Citation Text: Pevnick JM, Palmer KA, Shane R, et al. Potential benefit of electronic pharmacy claims data to prevent medication history errors and result…

The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units

March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

Differences in medication errors between central and remote site telepharmacies. | PSNet

psnet.ahrq.gov/issue/differences-medication-errors-between-central-and-remote-site-telepharmacies

September 21, 2011 - Study Differences in medication errors between central and remote site telepharmacies. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Differences in medication errors between central and remote site telepharmacies. J Am Pharm Assoc (2003). 2012;52(5):e97-e104. Copy Citation …

Physician characteristics, attitudes, and use of computerized order entry. | PSNet

psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computerized-order-entry

February 17, 2011 - Study Physician characteristics, attitudes, and use of computerized order entry. Citation Text: Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. Copy Citation Format: Google Sc…

Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. | PSNet

psnet.ahrq.gov/issue/team-based-intervention-reduce-impact-nonactionable-alarms-adult-intensive-care-unit

November 16, 2022 - Study Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. Citation Text: Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):1…

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. | PSNet

psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history

November 21, 2021 - Commentary The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. Citation Text: Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …

Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination

April 03, 2019 - Study Improving safety in the operating room: medication icon labels increase visibility and discrimination. Citation Text: Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…

The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. | PSNet

psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and

January 17, 2012 - Review The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. Citation Text: Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients: proposal for a method…

Introductions during time-outs: do surgical team members know one another's names? | PSNet

psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names

November 09, 2015 - Study Introductions during time-outs: do surgical team members know one another's names? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…

Empowering patients and reducing inequities: is there potential in sharing clinical notes? | PSNet

psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes

June 05, 2019 - Commentary Empowering patients and reducing inequities: is there potential in sharing clinical notes? Citation Text: Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…

Search AHRQ

Results