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  1. psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
    November 26, 2008 - Study How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. Citation Text: Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…
  2. psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
    April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…
  3. psnet.ahrq.gov/issue/patient-and-consumer-safety-risks-when-using-conversational-assistants-medical-information
    December 15, 2021 - Study Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. Citation Text: Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational assistant…
  4. psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote
    January 25, 2023 - Study Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety. Citation Text: Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…
  5. psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
    January 15, 2014 - Commentary Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Citation Text: Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …
  6. psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
    December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…
  7. psnet.ahrq.gov/issue/patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy
    November 29, 2023 - Review Patient complaints in healthcare systems: a systematic review and coding taxonomy. Citation Text: Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437. …
  8. psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their-families
    February 15, 2023 - Study Barriers and facilitators of adverse event reporting by adolescent patients and their families. Citation Text: Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237…
  9. psnet.ahrq.gov/issue/measuring-patient-safety-primary-care-development-and-validation-patient-reported-experiences
    April 25, 2018 - Study Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). Citation Text: Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and …
  10. www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdf
    January 01, 2017 - National Quality Strategy Fact Sheet The National Quality Strategy is a national effort to align public- and private-sector stakeholders to achieve better health and health care for all Americans. About the National Quality Strategy The National Quality Strategy (NQS) was first published in March 2011 as the Na…
  11. www.ahrq.gov/talkingquality/explain/communicate/reason.html
    November 01, 2018 - Give People a Reason To Look at a Health Care Quality Report Tell your audience why you are providing quality information. In particular, be specific about how they can benefit personally from using the report. Since many people are also likely to care about how comparative quality reports can help improve heat…
  12. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, MATCH Resources for Patients Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. B…
  13. psnet.ahrq.gov/issue/influence-hospital-physician-integration-culture-patient-safety
    March 09, 2016 - Study The influence of hospital physician integration on culture of patient safety. Citation Text: Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. Copy Citation …
  14. psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi
    June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…
  15. psnet.ahrq.gov/issue/safety-management-within-scope-teaching-practical-clinical-skills-framing-errors
    December 21, 2022 - Study Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. Citation Text: Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the sc…
  16. psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
    June 07, 2023 - Study Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Citation Text: Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…
  17. psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
    September 25, 2024 - Study Implementation of electronic triggers to identify diagnostic errors in emergency departments. Citation Text: Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
  18. digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-2.pdf
    June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 2 2-1 Section 2: Characterizing Your HIE Project This section describes background work that needs to be done to prepare for developing the evaluation plan by— z Describing the HIE project z Identifying the stakeholders z Articulati…
  19. psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
    July 24, 2024 - Review Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. Citation Text: Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these b…
  20. psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score
    August 24, 2022 - Study The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. Citation Text: Adair KC, Heath A, Frye MA, et al. The Psychological S…