AHRQ Search | Home Page

Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. | PSNet

psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006

December 15, 2010 - Study Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. Citation Text: Sonawane KB, Cheng N, Hansen RA. Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006-2014 Data…

The effect of emergency department boarding on order completion. | PSNet

psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion

January 29, 2018 - Study The effect of emergency department boarding on order completion. Citation Text: Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018. Copy Citation For…

New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet

psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation

March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…

Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. | PSNet

psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood-disorders-quality

November 16, 2022 - Study Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Citation Text: Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvemen…

Parents' perspective on safety in neonatal intensive care: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/parents-perspective-safety-neonatal-intensive-care-mixed-methods-study

November 08, 2017 - Study Parents' perspective on safety in neonatal intensive care: a mixed-methods study. Citation Text: Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009…

Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety

February 26, 2025 - Study Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. Citation Text: Gomes KM, Handley J, Pruitt ZM, et al. Development and evaluation of patient safety interventions: perspectives of operational saf…

Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet

psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing

July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

Implementing standardized operating room briefings and debriefings at a large regional medical center. | PSNet

psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical

January 03, 2017 - Study Implementing standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet

psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient

May 19, 2021 - Study Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. Citation Text: Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…

Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and

January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

What methods are used to apply positive deviance within healthcare organisations? A systematic review. | PSNet

psnet.ahrq.gov/issue/what-methods-are-used-apply-positive-deviance-within-healthcare-organisations-systematic

July 19, 2019 - Review What methods are used to apply positive deviance within healthcare organisations? A systematic review. Citation Text: Baxter R, Taylor N, Kellar I, et al. What methods are used to apply positive deviance within healthcare organisations? A systematic review. BMJ Qual Saf. 2016;25(3…

Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? | PSNet

psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses

March 24, 2019 - Study Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? Citation Text: Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71…

When do supervising physicians decide to entrust residents with unsupervised tasks? | PSNet

psnet.ahrq.gov/issue/when-do-supervising-physicians-decide-entrust-residents-unsupervised-tasks

October 03, 2012 - Study When do supervising physicians decide to entrust residents with unsupervised tasks? Citation Text: Sterkenburg A, Barach P, Kalkman CJ, et al. When do supervising physicians decide to entrust residents with unsupervised tasks? Acad Med. 2010;85(9):1408-1417. doi:10.1097/ACM.0b013…

Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet

psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins

September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report

November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. | PSNet

psnet.ahrq.gov/issue/threats-patient-safety-primary-care-reported-older-people-multimorbidity-baseline-findings

November 14, 2018 - Study Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. Citation Text: Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care report…

Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes

February 10, 2015 - Study Does Nursing Home Compare reflect patient safety in nursing homes? Citation Text: Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721. Copy Citation…

Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet

psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program

June 29, 2022 - Study Medication errors in community pharmacies: evaluation of a standardized safety program. Citation Text: Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients

April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study

August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

Search AHRQ

Results