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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Interprofessional handover and patient safety in
anaesthesia: observational study of handovers in the
recovery room.
April 18, 2011
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia:
observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…
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psnet.ahrq.gov/node/45778/psn-pdf
April 26, 2017 - Long-term outcomes of medication intervention using the
screening tool of older persons potentially inappropriate
prescriptions screening tool to alert doctors to right
treatment criteria.
April 26, 2017
Frankenthal D, Israeli A, Caraco Y, et al. Long-Term Outcomes of Medication Intervention Using the
Screening T…
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psnet.ahrq.gov/node/41884/psn-pdf
December 21, 2014 - Supratherapeutic dosing of acetaminophen among
hospitalized patients.
December 21, 2014
Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized
patients. Arch Intern Med. 2012;172(22):1721-8.
https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
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psnet.ahrq.gov/node/42177/psn-pdf
November 23, 2016 - Failure to engage hospitalized elderly patients and their
families in advance care planning.
November 23, 2016
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families
in advance care planning. JAMA Intern Med. 2013;173(9):778-787. doi:10.1001/jamainternmed.2013.18…
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psnet.ahrq.gov/node/47045/psn-pdf
January 21, 2019 - Information management goals and process failures
during home visits for middle-aged and older adults
receiving skilled home healthcare services after hospital
discharge: a multisite, qualitative study.
January 21, 2019
Arbaje AI, Hughes A, Werner N, et al. Information management goals and process failures during …
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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/node/46358/psn-pdf
December 22, 2017 - We want to know: eliciting hospitalized patients'
perspectives on breakdowns in care.
December 22, 2017
Fisher K, Smith KM, Gallagher TH, et al. We want to know: eliciting hospitalized patients' perspectives on
breakdowns in care. J Hosp Med. 2017;12(8):603-609. doi:10.12788/jhm.2783.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - Intensive care unit nurses' information needs and
recommendations for integrated displays to improve
nurses' situation awareness.
December 31, 2014
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for
integrated displays to improve nurses' situation awareness. J Am …
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/node/37890/psn-pdf
February 18, 2011 - Are Patient Safety Indicators related to widely used
measures of hospital quality?
February 18, 2011
Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen
Intern Med. 2008;23(9):1373-8. doi:10.1007/s11606-008-0665-2.
https://psnet.ahrq.gov/issue/are-patient-safet…
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psnet.ahrq.gov/node/38603/psn-pdf
September 29, 2009 - The association between transfer of emergency
department boarders to inpatient hallways and
mortality: a 4-year experience.
September 29, 2009
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department
boarders to inpatient hallways and mortality: a 4-year experience. Ann Em…
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digital.ahrq.gov/health-care-theme/personalized-medicine
January 01, 2023 - Personalized Medicine
Precision Emergency Medicine: Setting a Research Agenda
Description
This research will use a consensus conference format during the 2023 Society for Academic Emergency Medicine conference to develop and publish an actionable research agenda for precision …
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digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-i-patient-reported-outcomes/practical-guide
January 01, 2023 - Guide to Integrate Patient-Generated Digital Health Data into Electronic Health Records in Ambulatory Care Settings
Effective use of patient-generated health data (PGHD) in clinics poses many challenges, including clinician and patient burden, poor usability, workflow integration challenges…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix G. Safety and Adverse Events
Previous Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. …
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix G. Safety and Adverse Events
Previous Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. …
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www.ahrq.gov/cpi/centers/cfact/szuvekas-bio.html
August 01, 2025 - Samuel H. Zuvekas, Ph.D.
Director, Center for Financing, Access and Cost Trends
Samuel H. Zuvekas, Ph.D., directs a staff of health economists, statisticians, social scientists, and support staff conducting analyses and supporting extramural research on issues related to health care access, costs, and financi…
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psnet.ahrq.gov/node/37757/psn-pdf
March 10, 2011 - Workarounds to barcode medication administration
systems: their occurrences, causes, and threats to patient
safety.
March 10, 2011
Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems:
their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/tab1.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Table 1. List of Important Measure Constructs, by DRA Domain
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
…
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www.ahrq.gov/pcor/healthcare-extension-services/coordinating-center.html
February 01, 2025 - National Coordinating Center for AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Improvements
Applications have closed and are currently being reviewed for those wishing to establish a National Coordinating Center for AHRQ’s Healthcare Extension Service: State-based Solutions to Healthc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
June 02, 2025 - NICU Toolkit: Family Information Packet Cover Sheet
13
Transitioning Newborns
from NICU to Home
Family Information Packet
Your Health Coach has prepared this information packet for your family to help explain the medical
needs of your newborn as you prepare to leave the hospital. A Health Coach helps families/
c…