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  1. psnet.ahrq.gov/issue/what-do-patients-and-their-carers-do-support-safety-cancer-treatment-and-care-scoping-review
    January 08, 2020 - Review What do patients and their carers do to support the safety of cancer treatment and care? A scoping review. Citation Text: Tillbrook D, Absolom K, Sheard L, et al. What do patients and their carers do to support the safety of cancer treatment and care? A scoping review. J Patient S…
  2. psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
    May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. Citation Text: Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
  3. psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
    October 19, 2022 - Study Improving emergency medicine clinician awareness of prehospital-administered medications. Citation Text: Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…
  4. psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety-threats
    February 22, 2023 - Study In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative. Citation Text: Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improveme…
  5. psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
    January 31, 2024 - Study Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. Citation Text: McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…
  6. digital.ahrq.gov/principal-investigator/gustafson-david-h
    October 11, 2023 - Gustafson, David H. Digital Healthcare Innovations to Engage and Empower Patients in Their Care Event Date October 11, 2023 - 12:30pm - October 11, 2023 - 2:00pm AHRQ hosted a presentation highlighting how patient engagement in healthcare allows patients and their fam…
  7. psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
    June 14, 2017 - Study The impact of computerized provider order entry systems on medical-imaging services: a systematic review. Citation Text: Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
  8. psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
    January 19, 2022 - Study Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. Citation Text: Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…
  9. psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
    October 26, 2010 - Study Classic Disclosing medical errors to patients: it's not what you say, it's what they hear. Citation Text: Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
  10. psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
    November 11, 2020 - Study Feasibility of prospective error reporting in home palliative care: a mixed methods study. Citation Text: Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…
  11. psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
    June 16, 2021 - Study Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. Citation Text: Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…
  12. psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
    December 18, 2013 - Study Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. Citation Text: McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/06-pfe-planning-evaluation.pdf
    August 01, 2021 - Evaluation Planning Tool Evaluation Planning Tool Toolkit for Engaging Patients To Improve Diagnostic Safety After you implement the Be The Expert On You note sheet and the 60 Seconds To Improve Diagnostic Safety, you will need to evaluate the interventions’ impact. You can use this Evaluation Planning Worksheet…
  14. www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures5.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care End-of-Life Care Measures Previous Page   Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communication Measures: H…
  15. psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
    October 06, 2016 - Study The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. Citation Text: Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays…
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
    January 01, 2023 - Patient Experience Research Meeting - Agenda Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement A Virtual Research Meeting Sponsored by the U.S. Agency for Healthcare Research and Quality (AHRQ) October 19, 2023 11:00 a.m. – 4:00 p.m. ET MEETING PU…
  17. www.ahrq.gov/news/newsroom/case-studies/201518.html
    July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety Search All Impact Case Studies July 2015 Description New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
  18. psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
    October 26, 2022 - Study Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. Citation Text: Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave1.html
    July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Introduction Previous Page Next Page Table of Contents Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Introduction Understanding the AI Wave—What Is AI? Understanding AI’s…
  20. psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
    November 16, 2022 - Study Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. Citation Text: Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…