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  1. psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals
    August 11, 2021 - Review Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Citation Text: Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. …
  2. www.ahrq.gov/ncepcr/tools/confid-report/index.html
    March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamentals Part Two: Design of Physi…
  3. psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…
  4. psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
    September 18, 2019 - Study Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. Citation Text: Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
  5. psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging
    August 04, 2015 - Study Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. Citation Text: Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…
  6. psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
    November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…
  7. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
    September 01, 2021 - EvidenceNOW Building State Capacity Profile: Alabama Cooperative Alabama Cooperative Project Name: Alabama Cardiovascular Cooperative Principal Investigators: Andrea L. Cherrington, MD, MPH and Elizabeth Jackson, MD, MPH, FAHA, University of Alabama at Birmingham Cooperative Partners: Alabama Department …
  8. psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
    March 16, 2022 - Study Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Citation Text: Khaja KAJA, Ansari TMA, Damanhori AHH, et al. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Healt…
  9. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
    January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Princi…
  10. psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
    July 17, 2024 - Study Inappropriate diagnosis of pneumonia among hospitalized adults. Citation Text: Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077. Copy Citation Form…
  11. psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
    April 20, 2022 - Review The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Citation Text: Blatter C, Osińska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs…
  12. www.ahrq.gov/policymakers/chipra/demoeval/demostates/co.html
    March 01, 2019 - State at a Glance: Colorado Learn more about the CHIPRA quality demonstration projects being implemented in Colorado. Colorado is featured in the following reports from the National Evaluation: Evaluation Highlight No . 3: How are CHIPRA Quality Demonstration States working to improve adolescent health? …
  13. www.ahrq.gov/policymakers/chipra/demoeval/demostates/nm.html
    March 01, 2019 - State at a Glance: New Mexico Learn more about the CHIPRA quality demonstration projects being implemented in New Mexico. New Mexico is featured in the following reports from the National Evaluation: Evaluation Highlight No. 3: How are CHIPRA Quality Demonstration States working to improve adolescent hea…
  14. psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
    December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …
  15. psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
    January 19, 2014 - Study Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. Citation Text: McEachan RRC, Lawton R, O'Hara JK, et al. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):56…
  16. psnet.ahrq.gov/issue/are-language-barriers-associated-serious-medical-events-hospitalized-pediatric-patients
    November 16, 2022 - Study Classic Are language barriers associated with serious medical events in hospitalized pediatric patients? Citation Text: Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575…
  17. psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
    September 23, 2020 - Study Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. Citation Text: Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
  18. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
    March 01, 2017 - Facility Action Plan Template AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…
  19. digital.ahrq.gov/ahrq-funded-projects/evaluation-computer-generated-after-visit-summaries-support-patient-centered/annual-summary/2012
    January 01, 2012 - Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care - 2012 Project Name Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care Principal Investigator Pavlik, Valory Organization University of New Mexico …
  20. psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
    April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…