Category: AHRQ

Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.

Agency for Healthcare Research and Quality

Neily J, Soncrant C, Mills PD, et al. JAMA Network Open. 2018;1:e185147.

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

Agency for Healthcare Research and Quality

Curatolo CJ, McCormick PJ, Hyman JB, Beilin Y. Jt Comm J Qual Patient Saf. 2018;44:708-718.

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.

Agency for Healthcare Research and Quality

Butcher RL, Carluzzo KL, Watts BV, Schifferdecker KE. Am J Med Qual. 2018 Sep 8; [Epub ahead of print].

In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals.

Agency for Healthcare Research and Quality

Edwards MT. Int J Qual Health Care. 2018;30:602-607.

FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management.

Agency for Healthcare Research and Quality

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018.

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.

Agency for Healthcare Research and Quality

Guttman OT, Lazzara EH, Keebler JR, Webster KLW, Gisick LM, Baker AL. J Patient Saf. 2018 Nov 9; [Epub ahead of print].

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

Agency for Healthcare Research and Quality

Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. BMJ Open. 2018;8:e022202.

Still Failing the Frail.

Agency for Healthcare Research and Quality

Simmons-Ritchie D. Penn Live. November 15, 2018.

Silent witnesses: faculty reluctance to report medical students’ professionalism lapses.

Agency for Healthcare Research and Quality

Ziring D, Frankel RM, Danoff D, Isaacson JH, Lochnan H. Acad Med. 2018;93:1700-1706.

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.

Agency for Healthcare Research and Quality

Zacher JM, Cunningham FE, Zhao X, et al. Am J Health Syst Pharm. 2018;75:1460-1466.