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  1. Investigating the safety of medication administration in adult critical care settings. | PSNet

    psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
    June 01, 2022 - Review Investigating the safety of medication administration in adult critical care settings. Citation Text: Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…

  2. A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? | PSNet

    psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
    July 01, 2017 - Study A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? Citation Text: Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1).…

  3. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. | PSNet

    psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
    August 20, 2018 - Study Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Citation Text: Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…

  4. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? | PSNet

    psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
    March 23, 2011 - Study What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Citation Text: Aranaz-Andrés JM, Limón R, Mira JJ, et al. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Int J Qu…

  5. Hospital-Acquired Pneumonia (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
    November 01, 2019 - Hospital-Acquired Pneumonia Hospital-Acquired Pneumonia Diagnosis · Clinical symptoms of pneumonia (e.g., fever, cough, dyspnea, pleuritic chest pain) PLUS hypoxia PLUS a new radiographic infiltrate that develops at least 48 hours after hospitalization · Microbiology: either community-associated (e.g., Stre…

  6. The future of graduate medical education: a systems-based approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety
    October 18, 2017 - Commentary The future of graduate medical education: a systems-based approach to ensure patient safety. Citation Text: Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …

  7. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
    December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

  8. Towards a common framework to support decision-making in high-risk, low-time environments. | PSNet

    psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
    November 16, 2022 - Commentary Towards a common framework to support decision-making in high-risk, low-time environments. Citation Text: Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…

  9. Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/edgman-levitan-intro.pdf
    April 13, 2016 - Strategies for Improving CAHPS Health Plan Survey Scores Strategies for Improving CAHPS Health Plan Survey Scores A Webcast Presented by the AHRQ CAHPS User Network April 13, 2016 12:00 – 1:00 pm ET www.cahps.ahrq.gov CAHPS Webcast Series • Consumer Assessment of Healthcare Providers and Systems (CAHPS®…

  10. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. | PSNet

    psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
    April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…

  11. Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. | PSNet

    psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
    December 21, 2022 - Press Release/Announcement Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. Citation Text: Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …

  12. An engineered solution to the maladministration of spinal injections. | PSNet

    psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
    March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …

  13. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. | PSNet

    psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
    January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. Citation Text: Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…

  14. Aligning patient safety and stewardship: a harm reduction strategy for children. | PSNet

    psnet.ahrq.gov/issue/aligning-patient-safety-and-stewardship-harm-reduction-strategy-children
    February 27, 2019 - Review Aligning patient safety and stewardship: a harm reduction strategy for children. Citation Text: Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…

  15. A comparison of the effects of different typographical methods on the recognizability of printed drug names. | PSNet

    psnet.ahrq.gov/issue/comparison-effects-different-typographical-methods-recognizability-printed-drug-names
    May 31, 2011 - Study A comparison of the effects of different typographical methods on the recognizability of printed drug names. Citation Text: Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:1…

  16. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. | PSNet

    psnet.ahrq.gov/issue/e-learning-risk-management-opportunity-sharing-knowledge-and-experiences-patient-safety
    November 18, 2020 - Commentary E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Citation Text: Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J He…

  17. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
    March 06, 2019 - Commentary Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. Citation Text: Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…

  18. Research Tools

    hcup-us.ahrq.gov/tools_software.jsp
    July 01, 2025 - Software Tools HCUP software tools can be applied to HCUP and other administrative databases to systematically create new data elements from existing data, thereby enhancing a researcher's ability to conduct analyses.   Tools for ICD-10-CM/PCS Designed for use with International Classification of Disea…

  19. CAHPS Cancer Care Survey | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/cancer/index.html
    July 01, 2020 - CAHPS Cancer Care Survey The CAHPS ® Cancer Care Survey assesses the experiences of adult patients with cancer treatment provided in outpatient and inpatient settings, including: Independent community oncology practices. Cancer centers at community hospitals. Cancer centers at academic medical centers …

  20. Delivery System Research Initiative | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/index.html
    December 01, 2020 - Delivery System Research Initiative ARRA Grants Initiative Findings from a set of 10 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research. Improving the way that care is delivered is critic…
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