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  1. Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. | PSNet

    psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney
    August 10, 2022 - February 16, 2022 Transmission of community- and hospital-acquired SARS-CoV-2 in hospital

  2. Cost-to-Charge Ratio Files

    hcup-us.ahrq.gov/db/ccr/costtocharge.jsp
    November 01, 2021 - HCUP databases, tools, and software inform decision making at the national, State, and community levels

  3. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet

    psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
    November 21, 2017 - February 2, 2022 Transmission of community- and hospital-acquired SARS-CoV-2 in hospital

  4. Assessing patient work system factors for medication management during transition of care among older adults: an observational study. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
    July 20, 2022 - July 24, 2024 Medication management strategies by community-dwelling older adults: a

  5. 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. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety-threats
    February 22, 2023 - May 6, 2020 Color coded medication safety system reduces community pediatric emergency

  6. Use of Electronic Referral System to Improve the Outpatient Primary Care-Specialty Care Interface | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care
    January 01, 2023 - 09/01/2007 - 09/30/2009 Technology Administrative System Care Setting Community

  7. Opioid Epidemic COVID OUD Treatment Telehealth | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-oud-treatment-telehealth
    December 23, 2020 - Topic Briefs Age 12-17 Behavioral-Developmental Health Community

  8. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet

    psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
    April 04, 2018 - Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community

  9. Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources
    August 04, 2021 - August 26, 2020 Pharmacist linkage in care transitions: from academic medical center to community

  10. Disclosing medical errors to patients: it's not what you say, it's what they hear. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
    October 26, 2010 - This study used a volunteer community sample of patients who were asked to observe error disclosure

  11. NICU Family Information Packet, Appendix B, Feeding Tubes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
    June 02, 2025 - Table adapted from Khair J, Br J Community Nurs, 2003;8(3):116-126.

  12. Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. | PSNet

    psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
    February 14, 2024 - adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based

  13. Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study. | PSNet

    psnet.ahrq.gov/issue/dual-health-care-system-use-and-high-risk-prescribing-patients-dementia-national-cohort-study
    July 02, 2019 - and adoption of a computer-assisted tool with automated electronic integration of population-based community

  14. Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. | PSNet

    psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary
    June 07, 2023 - April 24, 2018 Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired

  15. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. | PSNet

    psnet.ahrq.gov/issue/factors-associated-potentially-missed-acute-deterioration-primary-care-cohort-study-uk
    February 02, 2022 - August 18, 2021 Transmission of community- and hospital-acquired SARS-CoV-2 in hospital

  16. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. | PSNet

    psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
    June 22, 2017 - improve patient safety and maintain their well-being in transitions from mental health hospitals to the community

  17. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. | PSNet

    psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
    July 21, 2021 - and adoption of a computer-assisted tool with automated electronic integration of population-based community

  18. Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

    psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
    January 23, 2017 - Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community

  19. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201518.html
    July 01, 2015 - 11 acute care hospitals, five nursing homes, six diagnostic and treatment centers, and more than 70 community-based

  20. Project Report - Lean Sigma (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
    January 01, 2011 - Fam Community Health. 2003 Jul-Sep;26(3):177-93. Greenhalgh T, Robert G, Macfarlane F, et al.
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