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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - Review
Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.
Citation Text:
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…
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psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
March 04, 2015 - Review
Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being.
Citation Text:
Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers …
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care
January 01, 2023 - Use of Electronic Referral System to Improve the Outpatient Primary Care-Specialty Care Interface
Project Final Report ( PDF , 9.7 MB)
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Publications
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cdsic.ahrq.gov/cdsic/innovation-center-quarterly-report-april-june-2025
June 27, 2025 - :
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CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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cdsic.ahrq.gov/cdsic/lessons-learned-resource
July 26, 2023 - :
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CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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www.ahrq.gov/es/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - Study
Associations between attending physician workload, teaching effectiveness, and patient safety.
Citation Text:
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…
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psnet.ahrq.gov/issue/my-patient-ready-safe-transfer-lower-intensity-care-setting-nursing-complexity-independent
April 26, 2023 - Study
Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge.
Citation Text:
Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity ca…
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psnet.ahrq.gov/issue/association-between-nurse-staffing-and-quality-care-emergency-departments-systematic-review
June 16, 2021 - Review
The association between nurse staffing and quality of care in emergency departments: a systematic review.
Citation Text:
Drennan J, Murphy A, McCarthy VJC, et al. The association between nurse staffing and quality of care in emergency departments: a systematic review. Int J Nurs S…
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
April 24, 2018 - Study
Racial inequality in receipt of medications for opioid use disorder.
Citation Text:
Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412.
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psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
August 04, 2021 - Study
Classic
Prevention of prescription opioid misuse and projected overdose deaths in the United States.
Citation Text:
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA N…
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psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and
June 15, 2011 - Study
Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.
Citation Text:
Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and c…
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psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative
February 03, 2021 - Study
Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study.
Citation Text:
Olin K, Klinga C, Ekstedt M, et al. Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperati…
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psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
December 21, 2018 - Study
Assessing frequency and risk of weight entry errors in pediatrics.
Citation Text:
Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865.
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psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
July 17, 2024 - Study
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for pa…
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www.ahrq.gov/priority-populations/observances/bhm/grantees.html
February 01, 2021 - Grantees Focusing on African Americans
Brian William Jack, M.D.
"Maternal health disparities begin well before a positive pregnancy test. Our work aims to offer Black women useful healthcare tools tailored specifically to their needs. Gabby is one such tool."
Implementation and Dissemination of Ga…
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psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
July 21, 2021 - Study
Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.
Citation Text:
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…
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psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
March 19, 2018 - Study
Prognosis of undiagnosed chest pain: linked electronic health record cohort study.
Citation Text:
Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures5.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care
End-of-Life Care Measures
Previous Page
Table of Contents
Chartbook on Person- and Family-Centered Care
Acknowledgments
Person- and Family-Centered Care
Summary of Trends
Measures of Person- and Family- Centered Care
Communication Measures: H…