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  1. psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
    May 01, 2024 - Study Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? Citation Text: Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…
  2. psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
    April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
  3. psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
    September 01, 2016 - Study Overrides of medication alerts in ambulatory care. Citation Text: Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551. Copy Citation Format: DOI Google Schol…
  4. psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
    December 23, 2020 - Study Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. Citation Text: Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventi…
  5. digital.ahrq.gov/technology/social-media
    January 01, 2023 - Social Media Survey About Parents’ Vaccination Decision for their Child Description This is a questionnaire designed to be completed by caregivers in a patient home. The tool includes questions to assess attitudes around social media. ElderTree Baseline S…
  6. psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
    April 03, 2019 - Study Classic Prevalence and characteristics of physicians prone to malpractice claims. Citation Text: Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.…
  7. psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes
    November 25, 2020 - Study Using radiofrequency technology to prevent retained sponges and improve patient outcomes. Citation Text: Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…
  8. psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
    March 21, 2012 - Study Eliminating central line-associated bloodstream infections: a national patient safety imperative. Citation Text: Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…
  9. digital.ahrq.gov/ahrq-funded-projects/sinc-synchronized-immunization-notifications
    January 01, 2023 - SINC: Synchronized Immunization Notifications Project Final Report ( PDF , 580.25 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stat…
  10. psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
    May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…
  11. www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/breast-cancer-medication-use-reduce-risk
    March 21, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Final Research Plan Breast Cancer: Medication to Reduce Risk March 21, 2024 Recommendations made by the USPSTF are independent of the U.S. government. They sh…
  12. psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
    March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…
  13. psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
    January 12, 2022 - Study Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. Citation Text: Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…
  14. psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
    October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm. Citation Text: McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. Copy …
  15. psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
    May 12, 2021 - Study Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. Citation Text: Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of …
  16. psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
    January 23, 2019 - Review Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Citation Text: Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…
  17. psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
    September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …
  18. digital.ahrq.gov/principal-investigator/gance-cleveland-bonnie
    January 01, 2023 - Gance-Cleveland, Bonnie Multidisciplinary teams are essential for developing clinical decision support to improve pediatric health outcomes: an exemplar. Citation Gance-Cleveland B, Ozkaynak M. Multidisciplinary teams are essential for developing clinical decision support to …
  19. psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
    September 23, 2020 - Study Emerging Classic Evaluation of medication errors at the transition of care from an ICU to non-ICU location. Citation Text: Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…
  20. psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources
    August 04, 2021 - Review Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. Citation Text: De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. Effectiveness of Pharmacist Int…