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  1. psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
    July 26, 2023 - Study Factors contributing to preventing operating room "never events": a machine learning analysis. Citation Text: Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…
  2. psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
    June 15, 2022 - Study Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. Citation Text: Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…
  3. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goldman-re-soran-cs
    January 01, 2023 - Goldman RE, Soran CS, Hayward GL, et al. "Doctors' perceptions of laboratory monitoring in office practice." Reference Goldman RE, Soran CS, Hayward GL, et al. Doctors' perceptions of laboratory monitoring in office practice. J Eval Clin Pract 2010 Dec;16(6):1136-41. [Link] Abstract Backgrou…
  4. psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
    October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis. Citation Text: Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…
  5. psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…
  6. psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
    April 06, 2016 - Commentary Classic Improving the quality of health care: what's taking so long? Citation Text: Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. Copy Citation Format: …
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Youtube-fillable-form.pdf
    April 01, 2024 - Video Submission Checklist Video Submission Checklist Complete this checklist and send it to the OC Managing Editor for your project. If you need to know who serves as your managing editor, email Bruce Seeman. 1. Submitter’s Name: Email: For items with boxes, select the appropriate box to mark it with an X. Do n…
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Youtube-submission-form.pdf
    July 01, 2024 - Video Submission Checklist Video Submission Checklist Complete this checklist and send it to the OC Managing Editor for your project. If you need to know who serves as your managing editor, email Bruce Seeman. 1. Submitter’s Name: Email: For items with boxes, select the appropriate box to mark it with an X. Do n…
  9. psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
    June 30, 2021 - Study Variation in the reporting of elective surgeries and its influence on patient safety indicators. Citation Text: Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…
  10. digital.ahrq.gov/ahrq-funded-projects/sponsored-health-it-and-evidence-based-prescribing-among-medical-residents
    January 01, 2023 - Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents Project Final Report ( PDF , 217.5 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 necessarily represen…
  11. psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
    November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…
  12. psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future
    June 15, 2022 - Commentary Quality and safety: learning from the past and (re)imagining the future. Citation Text: Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008. Copy C…
  13. psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
    November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…
  14. psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
    July 20, 2022 - Commentary AI: promise or peril for patient safety. Citation Text: Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…
  15. psnet.ahrq.gov/issue/crisis-health-care-call-action-physician-burnout
    February 05, 2014 - Book/Report A Crisis in Health Care: A Call to Action on Physician Burnout. Citation Text: A Crisis in Health Care: A Call to Action on Physician Burnout. Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvar…
  16. psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
    April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
  17. digital.ahrq.gov/program-overview/research-stories/asthmaxcel-voice-mobile-application-improve-chronic-disease
    January 01, 2023 - ASTHMAXcel Voice Mobile Application to Improve Chronic Disease Management and Patient Outcomes Theme: Engaging and Empowering Patients and Caregivers Subtheme: Using Patient-Reported Outcomes for Chronic Disease Management A mobile app that uses voice biomarkers to assess asthma symptoms h…
  18. psnet.ahrq.gov/issue/towards-safer-transitions-curriculum-teach-and-assess-hospital-hospice-handoffs
    March 20, 2024 - Commentary Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. Citation Text: Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j…
  19. psnet.ahrq.gov/issue/wrong-patient
    December 23, 2008 - Commentary Classic The wrong patient. Citation Text: Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  20. digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/annual-summary/2010
    January 01, 2010 - Improving Guideline Development and Implementation - 2010 Project Name Improving Guideline Development and Implementation Principal Investigator Shiffman, Richard N. Organization Yale University Contract Number 09-587F-07 Project Period September 2006 – Sept…