AHRQ Search | Home Page

Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. | PSNet

psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research

May 25, 2022 - Commentary Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. Citation Text: Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/b…

Patient Safety in Ambulance Services: A Scoping Review. | PSNet

psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review

April 19, 2017 - Book/Report Patient Safety in Ambulance Services: A Scoping Review. Citation Text: Patient Safety In Ambulance Services: A Scoping Review. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Cascades of care after incidental findings in a US national survey of physicians. | PSNet

psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians

April 24, 2018 - Study Classic Cascades of care after incidental findings in a US national survey of physicians. Citation Text: Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open. 2019;2(10):e191…

ROI for a fall prevention intervention: invest a little, save a lot. | PSNet

psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot

September 13, 2017 - Study ROI for a fall prevention intervention: invest a little, save a lot. Citation Text: Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248-252. doi:10.1097/naq.0000000000000647. Copy Citation Format: DOI Google Schol…

Factors associated with reported preventable adverse drug events: a retrospective, case-control study. | PSNet

psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study

November 16, 2022 - Study Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Citation Text: Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…

Accountability in nursing practice: why it is important for patient safety. | PSNet

psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety

April 07, 2021 - Commentary Accountability in nursing practice: why it is important for patient safety. Citation Text: Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. Copy Citation Format…

ADVERSE drug events: incidence and risk reduction across the care continuum. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum

April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. Copy C…

The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. | PSNet

psnet.ahrq.gov/issue/role-talking-and-keeping-silent-physician-coping-medical-error-qualitative-study

February 16, 2011 - Study The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Citation Text: May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …

Effectiveness of random and focused review in detecting surgical pathology error. | PSNet

psnet.ahrq.gov/issue/effectiveness-random-and-focused-review-detecting-surgical-pathology-error

August 04, 2021 - Study Effectiveness of random and focused review in detecting surgical pathology error. Citation Text: Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5…

Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/development-and-sustainability-inpatient-outpatient-discharge-handoff-tool-quality

August 04, 2015 - Study Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Citation Text: Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt C…

Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery

March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…

Patient safety in obstetrics and obstetric anesthesia. | PSNet

psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia

August 04, 2021 - Review Patient safety in obstetrics and obstetric anesthesia. Citation Text: Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017. Copy Citation Format: DOI Google Scholar PubMed B…

Differences in day and night shift clinical performance in anesthesiology. | PSNet

psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology

September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

Benefits of direct observation in medication administration to detect errors. | PSNet

psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors

March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

First with Kids: Medication Errors. | PSNet

psnet.ahrq.gov/issue/first-kids-medication-errors

February 03, 2021 - Audiovisual First with Kids: Medication Errors. Citation Text: First L. NBC5. First with Kids: Medication Errors. August 1, 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Hospital Readmissions Reduction Program: implications for pharmacy. | PSNet

psnet.ahrq.gov/issue/hospital-readmissions-reduction-program-implications-pharmacy

September 23, 2020 - Commentary Hospital Readmissions Reduction Program: implications for pharmacy. Citation Text: Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. Copy Citation …

Formalizing the hidden curriculum of performance enhancing errors. | PSNet

psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors

February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency

November 12, 2014 - Organizational Policy/Guidelines Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. Citation Text: Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…

Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet

psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009

June 14, 2017 - Newspaper/Magazine Article Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. Citation Text: Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…

When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet

psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment

September 23, 2017 - Commentary When medical care leads to harm—difficulty finding words: a teachable moment. Citation Text: Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.…

Search AHRQ

Results