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  1. digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2011
    January 01, 2011 - Patient Readiness to Use Internet Health Resources - 2011 Project Name Patient Readiness to Use Internet Health Resources Principal Investigator Koopman, Richelle J. Organization University of Missouri at Columbia Funding Mechanism PAR: HS09-085: Mentored Clinical S…
  2. psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
    April 13, 2017 - Study Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. Citation Text: Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-…
  3. digital.ahrq.gov/ahrq-funded-projects/towards-effective-and-efficient-adoption-health-information-technology-home
    January 01, 2023 - Towards Effective and Efficient Adoption of Health Information Technology in Home Health Care Project Final Report ( PDF , 309.54 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not …
  4. digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2012
    January 01, 2012 - Patient Readiness to Use Internet Health Resources - 2012 Project Name Patient Readiness to Use Internet Health Resources Principal Investigator Koopman, Richelle J. Organization University of Missouri at Columbia Funding Mechanism PAR: HS09-085: Mentored Clinical S…
  5. psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
    November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …
  6. psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
    July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…
  7. psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
    May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/medication-errors-school-nurse-second-victim
    October 19, 2022 - Commentary Medication errors: the school nurse as second victim. Citation Text: Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse. 2018;33(3):163-166. doi:10.1177/1942602x17747294. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  9. psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
    May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…
  10. psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
    February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Citation Text: Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. Copy Citation Fo…
  11. psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
    June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…
  12. psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it
    March 13, 2024 - Study The mixed blessings of smart infusion devices and health care IT. Citation Text: Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. Copy Citation Format: …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-barriers-postcard-final508.pdf
    June 02, 2025 - Overcoming Barriers to Medicine Adherence Overcoming Barriers to Medicine Adherence What Patients Might Say Possible Solutions My medicine makes me feel sick. Prescribe a substitute medication; change the dose. I feel fine. I don’t need any medicine. Explain in plain language how the medicine affects the bo…
  14. psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
    September 02, 2009 - Review Interventions to increase clinical incident reporting in health care. Citation Text: Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…
  15. psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
    September 21, 2022 - Study Implicit racial bias in pediatric orthopaedic surgery. Citation Text: Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop. 2022;42(7):393-399. doi:10.1097/bpo.0000000000002170. Copy Citation Format: DOI Google Sc…
  16. psnet.ahrq.gov/issue/sustained-effectiveness-primary-team-based-rapid-response-system
    November 16, 2022 - Study Sustained effectiveness of a primary-team-based rapid response system. Citation Text: Howell MD, Ngo L, Folcarelli P, et al. Sustained effectiveness of a primary-team-based rapid response system. Crit Care Med. 2012;40(9):2562-8. doi:10.1097/CCM.0b013e318259007b. Copy Citation …
  17. psnet.ahrq.gov/issue/pragmatic-insights-patient-safety-priorities-and-intervention-strategies-ambulatory-settings
    January 06, 2018 - Commentary Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. Citation Text: Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient…
  18. psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
    May 15, 2024 - Commentary Positive deviance: a different approach to achieving patient safety. Citation Text: Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115. Copy Citation …
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/8.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 3. Specifications for Each Pressure Ulcer Prevention Report (continued) 3.8. Completeness Report 3.8.1. Report Description The Completeness Report is a check of CNA documentation to determine how much of…
  20. psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
    May 29, 2024 - Commentary 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. Citation Text: Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…