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  1. digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2010
    January 01, 2010 - Veterans Administration (VA) Integrated Medication Manager - 2010 Project Name Veterans Administration (VA) Integrated Medication Manager Principal Investigator Nebeker, Jonathan Organization Western Institute for Biomedical Research Funding Mechanism RFA: HS07-006:…
  2. psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
    January 08, 2020 - Study Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. Citation Text: Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Un…
  3. psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
    August 04, 2021 - Study Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Citation Text: Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-1…
  4. psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
    January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of unsafe care. Citation Text: van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
  5. psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
    August 24, 2022 - Study Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. Citation Text: Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…
  6. psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
    July 08, 2020 - Study On higher ground: ethical reasoning and its relationship with error disclosure. Citation Text: Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. Copy Citation…
  7. psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
    February 15, 2023 - Study "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. Citation Text: Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …
  8. psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
    November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…
  9. psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
    October 27, 2021 - Study Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. Citation Text: Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
  10. psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
    May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…
  11. psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
    June 08, 2022 - Review Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. Citation Text: Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Sa…
  12. psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
    February 22, 2017 - Study Classic Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. Citation Text: Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…
  13. psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
    May 29, 2019 - Review Classic Adverse outcomes of polypharmacy in older people: systematic review of reviews. Citation Text: Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):1…
  14. psnet.ahrq.gov/issue/patient-initiated-voluntary-online-survey-adverse-medical-events-perspective-696-injured
    May 20, 2020 - Study Classic A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. Citation Text: Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events:…
  15. psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
    September 04, 2013 - Study Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. Citation Text: Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal storie…
  16. psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
    October 05, 2016 - Study Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
    June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Introduction The Agency for Healthcare Research and Quality developed On-Time Preventable Hospital and Emergency Department Visits for nursing homes with an electronic medical record (EMR). The tools are desi…
  18. digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-interview-script.pdf
    June 16, 2021 - Baseline Clinician Interview Script Baseline Clinician Interview Script Primary Care Development Corporation, New York NY This is an interview guide designed to be conducted with clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records. Permiss…
  19. digital.ahrq.gov/funding-mechanism/evidence-based-practice-centers-epcs
    January 01, 2023 - Evidence-based Practice Centers (EPCs) Outcomes from health information exchange: systematic review and future research needs Citation Hersh WR, Totten AM, Eden KB, et al. Outcomes from health information exchange: systematic review and future research needs. JMIR Med Inform 2…
  20. psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study
    July 21, 2017 - Study The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. Citation Text: O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…