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  1. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-summary.html
    July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap Executive Summary Previous Page Next Page Table of Contents Clinical-Community Relationships Evaluation Roadmap Executive Summary 1. Introduction and Purpose 2. Priority Questions and Recommendations 3. Conclusion References Appendices:…
  2. psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
    January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Citation Text: Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
  3. psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
    October 19, 2022 - Study Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. Citation Text: Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…
  4. www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2025 - Quality and Safety Review System (QSRS) Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…
  5. psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
    July 21, 2021 - Study Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. Citation Text: Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…
  6. digital.ahrq.gov/technology/bioinformatics-and-genomics
    January 01, 2023 - Bioinformatics and Genomics Annual Conference on Health Information Technology & Analytics (CHITA) - Final Report Citation Agarwal R. Annual Conference on Health Information Technology & Analytics (CHITA) - Final Report. (Prepared by the University of Maryland under Grant No. …
  7. digital.ahrq.gov/technology/clinical-information-system
    March 01, 2024 - Clinical Information System Addressing chronic pain through patient- and clinician-facing clinical decision support: Practice implementation guide Citation Addressing chronic pain through patient- and clinician-facing clinical decision support: Practice implementation guide. P…
  8. psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
    September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …
  9. digital.ahrq.gov/2020-year-review/research-summary/strengthening-patient-engagement-improve-care-and-shared-decision-making-emerging-research
    January 01, 2020 - Strengthening Patient Engagement to Improve Care and Shared Decision Making - Emerging Research Using Technology to Support Patient-Centered, Shared Decision Making in Care and Treatment Decisions Patient-centered shared decision making refers to the collaborative effort of a healthc…
  10. psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
    September 07, 2022 - Study How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. Citation Text: Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…
  11. psnet.ahrq.gov/issue/nurses-perceptions-and-demands-regarding-covid-19-care-delivery-critical-care-units-and
    March 09, 2022 - Study Emerging Classic Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Citation Text: González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding…
  12. integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
    January 01, 2021 - Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants Enhancing the Access and Quality of MAT for Individuals with Opioid Use Disorder (OUD) in Rural Pennsylvania’s …
  13. psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children
    June 29, 2009 - Study Classic Parent-reported errors and adverse events in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics…
  14. psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
    December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …
  15. psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
    August 20, 2018 - Study Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. Citation Text: Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…
  16. www.ahrq.gov/policymakers/chipra/overview/background/executive-summary.html
    December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
  17. psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats
    November 30, 2011 - Study Classic Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. Citation Text: Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurren…
  18. psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…
  19. psnet.ahrq.gov/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use
    March 05, 2014 - Study Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. Citation Text: Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "techno…
  20. psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
    January 15, 2025 - Review Methodological variations and their effects on reported medication administration error rates. Citation Text: McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…