AHRQ Search | Home Page

Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. | PSNet

psnet.ahrq.gov/issue/development-huddle-observation-tool-structured-case-management-discussions-improve-situation

March 06, 2013 - October 19, 2012 Infant deaths associated with cough and cold medications—two states,

Understanding the behaviour of newly qualified doctors in acute care contexts. | PSNet

psnet.ahrq.gov/issue/understanding-behaviour-newly-qualified-doctors-acute-care-contexts

July 02, 2014 - ) Exploring error in team-based acute care scenarios: an observational study from the United

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. | PSNet

psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery

October 05, 2022 - Study Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. Citation Text: Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…

Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report

January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. Citation Text: Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…

Adverse drug events in ambulatory care. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care

February 24, 2011 - December 23, 2008 Ambulatory prescribing errors among community-based providers in two states

Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet

psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons

July 02, 2014 - Study Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Citation Text: Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. | PSNet

psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-change-health-care-inside

January 27, 2021 - Book/Report Classic Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. Citation Text: Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. Prono…

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. | PSNet

psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age

January 09, 2018 - Book/Report Classic The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Citation Text: The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. …

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department

November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

What's in a name? Provider perception of injured John Doe patients. | PSNet

psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients

September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. | PSNet

psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports

May 29, 2024 - Commentary 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. Citation Text: Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…

Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. | PSNet

psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process

March 02, 2022 - Study Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Citation Text: Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…

Team-training in healthcare: a narrative synthesis of the literature. | PSNet

psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature

July 02, 2014 - Review Team-training in healthcare: a narrative synthesis of the literature. Citation Text: Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. Copy Citation Format: …

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet

psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience

February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…

Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. | PSNet

psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid-them

November 01, 2023 - Study Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. Citation Text: Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.2181…

Assessing the value of electronic prescribing in ambulatory care: A focus group study. | PSNet

psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study

September 01, 2016 - Study Assessing the value of electronic prescribing in ambulatory care: A focus group study. Citation Text: Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j…

Expanding what we know about off-peak mortality in hospitals. | PSNet

psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals

July 09, 2008 - Study Expanding what we know about off-peak mortality in hospitals. Citation Text: Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e. Copy Citation Format: …

Reducing medical error in the Military Health System: how can team training help? | PSNet

psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help

March 29, 2007 - Commentary Reducing medical error in the Military Health System: how can team training help? Citation Text: Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…

Sleep deprivation and medication administration errors in registered nurses- a scoping review. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-and-medication-administration-errors-registered-nurses-scoping-review

September 23, 2020 - Review Sleep deprivation and medication administration errors in registered nurses- a scoping review. Citation Text: Martin CV, Joyce‐McCoach J, Peddle M, et al. Sleep deprivation and medication administration errors in registered nurses- a scoping review. J Clin Nurs. 2024;33(3):859-873…

Opioid abuse in chronic pain—misconceptions and mitigation strategies. | PSNet

psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies

November 18, 2016 - Review Opioid abuse in chronic pain—misconceptions and mitigation strategies. Citation Text: Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771. Copy Citation Format: …

Search AHRQ

Results