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  1. psnet.ahrq.gov/issue/interprofessional-communication-and-medical-error-reframing-research-questions-and-approaches
    December 08, 2010 - Review Interprofessional communication and medical error: a reframing of research questions and approaches. Citation Text: Varpio L, Hall P, Lingard LA, et al. Interprofessional communication and medical error: a reframing of research questions and approaches. Acad Med. 2008;83(10 Supp…
  2. psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
    October 12, 2022 - Review Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Citation Text: Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…
  3. psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
    June 21, 2006 - Commentary Development and implementation of a hospital-based patient safety program. Citation Text: Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. Copy Citation Format: Google Schol…
  4. psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
    October 27, 2010 - Commentary At risk care plans: a way to reduce readmissions and adverse events. Citation Text: Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. Copy Citation…
  5. digital.ahrq.gov/health-care-theme/medication-management
    January 01, 2023 - Medication Management Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction Description This research will use artificial intelligence and machine learning to create prediction too…
  6. psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
    April 25, 2016 - Commentary The underappreciated role of habit in highly reliable healthcare. Citation Text: Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. Copy Citation Format: DOI Goog…
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0715-140408.pdf
    May 29, 2025 - Topic 0590 Strategies to Treat and Manage Infantile Hemangioma NSD FINAL_SJ Strategies to Treat and Manage Infantile Hemangioma Nomination Summary Document …
  8. psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
    October 02, 2013 - Government Resource Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Citation Text: Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…
  9. digital.ahrq.gov/health-care-theme/clinical-workflow
    January 01, 2023 - Clinical Workflow Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how this…
  10. psnet.ahrq.gov/issue/problem-medication-reconciliation
    May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  11. psnet.ahrq.gov/issue/examination-factors-predict-perioperative-culture-safety
    May 12, 2021 - Study An examination of factors that predict the perioperative culture of safety. Citation Text: Wright MI, Polivka B, Abusalem S. An examination of factors that predict the perioperative culture of safety. AORN J. 2021;113(5):465-475. doi:10.1002/aorn.13373. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
    September 23, 2020 - Commentary Improving medication administration safety in a community hospital setting using Lean methodology. Citation Text: Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
  13. psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
    May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…
  14. psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
    August 20, 2018 - Commentary Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. Citation Text: Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Ca…
  15. psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
    June 22, 2022 - Commentary Five strategies for clinicians to advance diagnostic excellence. Citation Text: Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. Copy Citation Format: DOI Google S…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Sustainability Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Sustainability | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Learning Objectives Sustainability | ‹#› AHRQ Safety Program for Ambula…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - Application of Safety-II Principles August 28, 2024 Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33824/psn-pdf
    January 01, 2016 - Patient Safety and Opioid Medications January 1, 2016 Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications Annual Perspective 2016 Opioid medications confer significant risks of harm, including overdose death …
  19. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
    March 01, 2017 - Module 6: Sustainability AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 6: Sustainability Slide 2: Objectives Define sustainability and understand the importance of maintaining positive change. Describe the link between sustainability and spread. Develop a plan for sustainabi…
  20. digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve
    January 01, 2024 - Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE) Project Final Report ( PDF , 428.15 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …