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psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physiciansAugust 10, 2011 - Study Questionable hospital chart documentation practices by physicians. Citation Text: Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6. Copy Citation Fo…
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psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-settingMarch 11, 2011 - Study The safety of warfarin therapy in the nursing home setting. Citation Text: Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
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psnet.ahrq.gov/issue/adverse-events-emergency-department-boarding-systematic-reviewMarch 02, 2022 - Review Adverse events in emergency department boarding: a systematic review. Citation Text: Rocha HM, Farre AGM, Santana Filho VJ. Adverse events in emergency department boarding: a systematic review. J Nurs Scholarsh. 2021;53(4):458-467. doi:10.1111/jnu.12653. Copy Citation Format…
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psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategiesSeptember 23, 2020 - Review Medication reconciliation and patient safety in trauma: Applicability of existing strategies. Citation Text: DeAntonio JH, Leichtle SW, Hobgood S, et al. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. J Surg Res. 2019;246:482-489. doi…
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medication-safety-pediatrics-avoid-studyOctober 28, 2015 - Study Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Citation Text: Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res P…
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reportsMarch 04, 2020 - Study Improving resident morning sign-out by use of daily events reports. Citation Text: Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. Copy Citation Format: …
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psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safetyApril 06, 2011 - Study Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. Citation Text: Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. Cop…
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psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-europeanSeptember 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…
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psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiativeSeptember 02, 2015 - Study Anesthesia Risk Alert program: a proactive safety initiative. Citation Text: Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. Copy Citation Format: …
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psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practiceNovember 20, 2015 - Study Test result communication in primary care: a survey of current practice. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712. Copy Citati…
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academicApril 21, 2016 - Study Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. Citation Text: Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips79.htmlOctober 01, 2014 - Four Kentucky Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusin…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips93.htmlOctober 01, 2014 - Missouri Hospitals Improve Medication Reconciliation Process Using AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Primaris, the Missouri Quality Improvement Organization (QIO), worked with hospitals in the State to i…
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psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-careDecember 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatricNovember 16, 2015 - Study Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. Citation Text: Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…
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psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homesMarch 18, 2020 - Study A systems approach to identify factors influencing adverse drug events in nursing homes. Citation Text: Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389…
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psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensiveJune 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnicSeptember 22, 2021 - Study Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. Citation Text: Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…
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psnet.ahrq.gov/issue/qualitative-evaluation-healthcare-professionals-perceptions-adverse-events-focusingApril 16, 2008 - Study A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. Citation Text: Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse eve…
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psnet.ahrq.gov/issue/human-factors-engineering-paradigm-patient-safety-designing-support-performance-healthcareFebruary 02, 2011 - Study A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. Citation Text: Karsh B-T, Holden RJ, Alper SJ, et al. A human factors engineering paradigm for patient safety: designing to support the performance of the…
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