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  1. psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states
    December 12, 2012 - Study In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. Citation Text: Hill A-M, Jacques A, Chandler M, et al. In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States. Jt Comm J…
  2. psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
    March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…
  3. psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
    November 12, 2014 - Review Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Citation Text: Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…
  4. psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
    January 08, 2016 - Study Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Citation Text: Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…
  5. psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
    April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…
  6. psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
    October 27, 2010 - Study A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. Citation Text: Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …
  7. psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
    April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…
  8. psnet.ahrq.gov/issue/how-well-do-we-communicate-comparison-intraoperative-diagnoses-listed-pathology-reports-and
    May 29, 2019 - Study How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. Citation Text: Talmon G, Horn A, Wedel W, et al. How well do we communicate?: a comparison of intraoperative diagnoses listed in pathology reports and operative no…
  9. psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
    March 24, 2010 - Study Limited health literacy is a barrier to medication reconciliation in ambulatory care. Citation Text: Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. Copy Citatio…
  10. psnet.ahrq.gov/issue/getting-underuse-interpreters-resident-physicians
    February 21, 2018 - Study Getting by: underuse of interpreters by resident physicians. Citation Text: Diamond LC, Schenker Y, Curry LA, et al. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2009;24(2):256-62. doi:10.1007/s11606-008-0875-7. Copy Citation Format: …
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
    March 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 19E: SMI Subpopulation Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCBS Popu…
  12. psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…
  13. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
    November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls Strategies to Better Manage Lipids – Statin Pearls Alex Krist MD MPH Family Physician Virginia Commonwealth University Member, US Preventive Services Task Force ahkrist@vcu.edu ‹#› 5/24/2018 1 Disclaimer Although I am a member of the U.S. Preventive Services Tas…
  14. psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
    June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…
  15. psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
    May 18, 2022 - Study Distraction and interruption in anaesthetic practice. Citation Text: Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. Copy Citation Format: DOI Google Scholar PubMed BibTe…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
    June 02, 2025 - Action Planning for the SOPS Surveys-Introducing SOPS 10 Introducing the SOPS Action Planning Tool Laura Gray, MPH Senior Study Director, User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 11 AHRQ Surveys on Patient Safety Culture Surveys of clinicians and staff about the extent to w…
  17. psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
    September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
    March 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 19B: Dually Eligible HCBS Participants Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators f…
  19. psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
    October 19, 2022 - Study Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. Citation Text: Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. American Journal of M…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
    March 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 19C: Medicaid-Only HCBS Participants Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…