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psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
May 14, 2009 - Study
Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…
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psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using-trigger-tool
August 05, 2020 - Study
Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology.
Citation Text:
Schildmeijer KGI, Unbeck M, Ekstedt M, et al. Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. BMJ…
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
August 09, 2017 - Study
Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness.
Citation Text:
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…
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psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
December 07, 2022 - Study
Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis.
Citation Text:
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess large language models for patient …
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psnet.ahrq.gov/issue/perception-patient-safety-climate-health-professionals-during-covid-19-pandemic-international
February 15, 2023 - Study
The perception of the patient safety climate by health professionals during the COVID-19 pandemic-international research.
Citation Text:
Kosydar-Bochenek J, Krupa S, Religa D, et al. The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic—I…
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psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
November 17, 2021 - Study
Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review.
Citation Text:
Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication…
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psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies-through-systems-based
August 03, 2017 - Study
Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions.
Citation Text:
Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resi…
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digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/annual-summary/2010
January 01, 2010 - Improving Uptake and Use of Personal Health Records - 2010
Project Name
Improving Uptake and Use of Personal Health Records
Principal Investigator
Bates, David
Organization
Brigham and Women's Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Te…
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psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events
January 18, 2023 - Study
Frailty, gaps in care coordination, and preventable adverse events.
Citation Text:
Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Introduction
The Agency for Healthcare Research and Quality developed On-Time Preventable Hospital and Emergency Department Visits for nursing homes with an electronic medical record (EMR). The tools are desi…
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digital.ahrq.gov/funding-mechanism/evidence-based-practice-centers-epcs
January 01, 2023 - Evidence-based Practice Centers (EPCs)
Outcomes from health information exchange: systematic review and future research needs
Citation
Hersh WR, Totten AM, Eden KB, et al. Outcomes from health information exchange: systematic review and future research needs. JMIR Med Inform 2…
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psnet.ahrq.gov/issue/perceptions-hospital-electronic-health-record-ehr-training-support-and-patient-safety-staff
October 03, 2018 - Study
Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure.
Citation Text:
Campione JR, Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure. B…
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psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
January 15, 2014 - Study
Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.
Citation Text:
Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…
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psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
December 08, 2021 - Study
Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment.
Citation Text:
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Serv Res. 2…
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - Toolkit 3. The Nursing Home Antibiogram Program Toolkit: How To Develop and Implement an Antibiogram Program
Toolkit Effectiveness
This toolkit reflects the results of preliminary work with three nursing homes to develop the antibiogram, train staff, and implement the program. 1
Overview of the Toolkit
Wh…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
June 02, 2025 - TeamSTEPPS Teamwork Perceptions Questionnaire
TeamSTEPPS Teamwork Perceptions
Questionnaire
The Teamwork Perceptions Questionnaire (T-TPQ) is designed to assess Level II Learning and
Level III Behavior. The 35-item self-report tool uses 5-point Likert scales to measure staff
perceptions …
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psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm
August 13, 2013 - Study
The association between patient-reported incidents in hospitals and estimated rates of patient harm.
Citation Text:
Bjertnaes O, Deilkås ET, Skudal KE, et al. The association between patient-reported incidents in hospitals and estimated rates of patient harm. Int J Qual Health Care…
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psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
November 09, 2022 - Study
Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU.
Citation Text:
Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for imp…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab5-1.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 5.1. Intervention Steps and Implementation Tools
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Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Interve…