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  1. www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
    January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI) Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses…
  2. psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
    May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  3. digital.ahrq.gov/ahrq-funded-projects/understanding-how-social-influence-and-social-networks-affect-electronic
    January 01, 2023 - Understanding How Social Influence and Social Networks Affect Electronic Medical Record Implementation Project Final Report ( PDF , 367.9 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and…
  4. psnet.ahrq.gov/issue/medical-error-second-victim
    March 23, 2011 - Commentary Classic Medical error: the second victim. Citation Text: Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
  5. psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
    March 11, 2019 - Study Classic The incidence and severity of adverse events affecting patients after discharge from the hospital. Citation Text: Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…
  6. psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
    October 21, 2015 - Book/Report Examining the Copy and Paste Function in the Use of Electronic Health Records. Citation Text: Examining the Copy and Paste Function in the Use of Electronic Health Records. Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technol…
  7. psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
    June 23, 2021 - Review An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Citation Text: Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…
  8. psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
    June 21, 2010 - Study An intervention to enhance nursing staff teamwork and engagement. Citation Text: Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. Copy Citation Format: Google Scholar PubMed BibTeX EndN…
  9. psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…
  10. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chaudhry-b-et-al-2006
    January 01, 2006 - Chaudhry B et al. 2006 "Systematic review: impact of health information technology on quality, efficiency, and costs of medical care." Reference Chaudhry B, Wang J, Wu SY, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Me…
  11. psnet.ahrq.gov/issue/caregivers-perception-drug-administration-safety-pediatric-oncology-patients
    August 14, 2024 - Study Caregivers' perception of drug administration safety for pediatric oncology patients. Citation Text: Harris N, Badr LK, Saab R, et al. Caregivers' perception of drug administration safety for pediatric oncology patients. J Pediatr Oncol Nurs. 2014;31(2):95-103. doi:10.1177/10434542…
  12. psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
    July 13, 2010 - Study Liability associated with obstetric anesthesia: a closed claims analysis. Citation Text: Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. Copy Cita…
  13. psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
    June 29, 2009 - Commentary Planning and implementing a systems-based patient safety curriculum in medical education. Citation Text: Thompson DA, Cowan J, Holzmueller CG, et al. Planning and implementing a systems-based patient safety curriculum in medical education. Am J Med Qual. 2008;23(4):271-8. do…
  14. www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
    January 01, 2024 - The following describes results that informed the checklist’s development and implementation. … aBeta describes the change in the number of utterances or decision-making events associated with a 1% … aBeta describes the change in parent perceptions for each of the 4 safety domains associated with a 1%
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
    May 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Final Report Contract Final Report Designing Consumer Reporting Systems for Patient Safety Events Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850…
  16. www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
    May 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Final Report Contract Final Report Designing Consumer Reporting Systems for Patient Safety Events Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850…
  17. effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_research-protocol.pdf
    June 11, 2014 - hemorrhage-postpartum-protocol-140611 Evidence-based Practice Center Systematic Review Protocol Project Title: Management of Postpartum Hemorrhage I. Background and Objectives for the Systematic Rev…
  18. www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
    January 01, 2024 - Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes Trial of Decision Support to Improve Diabetes Outcomes Randall D. Cebul, MD, PI, MetroHealth Medical System Neal V. Dawson, MD, Investigator Douglas Einstadter, MD, Investigator Peter Greco, MD, Investigator Thomas Love, PhD, Investi…
  19. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
    June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Issue Brief 27 This page is intentionally left blank. Issue Brief 27 Understanding the AI Wave: Foundational Knowl…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-women-diagnosis_executive.pdf
    June 01, 2012 - 1 Comparative Effectiveness Review Number 58 Noninvasive Technologies for the Diagnosis of Coronary Artery Disease in Women Executive Summary Background Cardiovascular disease is the leading cause of mortality for women in the United States.1 Coronary heart disease— which includes coronary artery (or atheroscl…