-
psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
September 23, 2020 - Review
Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.
Citation Text:
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…
-
psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
June 16, 2021 - Review
Detection of medication-related problems in hospital practice: a review.
Citation Text:
Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049.
Copy Citation
Format:
DOI Google S…
-
psnet.ahrq.gov/issue/framework-patient-safety-research-and-improvement
May 20, 2009 - Commentary
Framework for patient safety research and improvement.
Citation Text:
Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/effects-interdisciplinary-collaboration-hospitals-medication-errors-integrative-review
June 16, 2021 - Review
Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review.
Citation Text:
Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opin Drug Saf. 2018;17(3):259-275. doi:10.1080/…
-
psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Study
Orienting frames and private routines: the role of cultural process in critical care safety.
Citation Text:
Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35.
Copy Cit…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident's chart for a suspected catheter-associated urinar…
-
digital.ahrq.gov/health-care-theme/learning-health-system
January 01, 2023 - Learning Health System
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary…
-
www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
December 01, 2023 - How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
www.ahrq.gov
How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
The Practice Self-Assessment Tool for Opioid Use in Older Adults (Self-Assessment tool) is for
primary care practices that want to improve…
-
psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Review
Classic
Teamwork in healthcare: key discoveries enabling safer, high-quality care.
Citation Text:
Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…
-
www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics
Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…
-
www.ahrq.gov/ncepcr/about/index.html
December 01, 2024 - About AHRQ's National Center for Excellence in Primary Care Research
Sign Up: NCEPCR and Primary Care Email Updates
The National Center for Excellence in Primary Care Research (NCEPCR) is the home for primary care research at AHRQ. NCEPCR is focused on strengthening the Nation's primary care system, provi…
-
psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
October 13, 2018 - Review
Improving patient safety through simulation training in anesthesiology: where are we?
Citation Text:
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…
-
digital.ahrq.gov/health-care-theme/health-literacy
January 01, 2023 - Health Literacy
LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results
Description
The study will create, implement, and test a patient-centric web app to support older adults with chronic conditions in comprehending, managing, and acting up…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix B
Team Roles and Responsibilities
Role
Responsibilities
Suggested Background or
Experience for Staff Roles
I. CANDOR Implementation Team
CANDOR Implementation Team Leader
Organization-wide implementation of the CANDOR pr…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Lessons Learned From Implementation Challenges
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
L…
-
psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
January 24, 2024 - Commentary
Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies.
Citation Text:
Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-mchugh.html
May 01, 2025 - Grantee Profile
Improving Heart Health in Manufacturing Communities
Megan McHugh, Ph.D. Professor of Emergency Medicine Feinberg School of Medicine Northwestern University “Manufacturing workers have historically earned higher wages than similar workers in other industries and are more likely to be offered …
-
psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
February 23, 2015 - Review
Intrathecal chemotherapy: potential for medication error.
Citation Text:
Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX End…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/epilepsy-medicine_disposition-comments.pdf
March 01, 2012 - Affiliation Section Comment Response
Peer Reviewer #2
Results “Future research should not be directed … Instead, randomized, controlled trials should
be directed at determining whether patients switched from … The author’s recommendation that future RCT research should
NOT be directed at assessing “A” rated generics … tolerability in a large
population is not as important as conducting
randomized, controlled trials directed … this report, and potentially for all such reports, so
that individual patient needs and physician directed
-
psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - EMS Perils from Hospital Overcrowding
August 31, 2022
Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
The Case
A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…