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  1. psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
    March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…
  2. psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
    March 20, 2024 - Study Medical errors education: a prospective study of a new educational tool. Citation Text: Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events
    April 22, 2015 - Review Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? Citation Text: Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriora…
  4. effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0068_01-30-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0120 Document Completion Date: 6-8-09 1 Results of Topic Selection Process & Next Steps  Antinuclear autoantibody and rheumatoid factor testing in children will move forward to be refined as an effectiveness review via the AHRQ Evidence-based Practice Ce…
  5. psnet.ahrq.gov/issue/safety-checklist-compliance-and-false-sense-safety-new-directions-research
    December 29, 2014 - Commentary Safety checklist compliance and a false sense of safety: new directions for research. Citation Text: Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-0021…
  6. psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
    February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …
  7. psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18-0
    January 11, 2023 - Grant Announcement Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). Citation Text: Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; September 9, 20…
  8. psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
    October 26, 2022 - Study A method to identify pediatric high-risk diagnoses missed in the emergency department. Citation Text: Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018…
  9. psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
    June 19, 2019 - Review The recurring problem of retained swabs and instruments. Citation Text: Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001. Copy Citation Format:…
  10. psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
    October 13, 2021 - Review A state-of-the-art review of speaking up in healthcare. Citation Text: Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract. 2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8. Copy Citation Format: DOI Google Scholar …
  11. psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
    January 18, 2011 - Commentary Studying patient safety in health care organizations: accentuate the qualitative. Citation Text: Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
    February 21, 2018 - Study Medication Administration Time Study (MATS): nursing staff performance of medication administration. Citation Text: Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
    June 02, 2025 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 5 Tools Action Plan Tool to Measure Pressure Ulcer Rates and Pressure Ulcer Prevention Practices Tool 5C: Assessing Comprehensive Skin Assessment Tool 5D: Assessing Standardized Risk Assessment Tool 5E: Assessing Care Planning AHRQ Pressure…
  14. digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/activity/human-factors-home-health-care/annual-summary/2010
    January 01, 2010 - Human Factors in Home Health Care - 2010 Project Name Human Factors in Home Health Care Principal Investigator O'Connell, Mary Ellen Organization National Research Council Contract Number AHR7128 Project Period September 2009 – October 2011, Including No-Cos…
  15. digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/annual-summary/2011
    January 01, 2011 - Human Factors in Home Health Care - 2011 Project Name Human Factors in Home Health Care Principal Investigator O'Connell, Mary Ellen Organization National Research Council Contract Number AHR7128 Project Period September 2009 - October 2011 AHRQ Fundin…
  16. digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focused/annual-summary/2010
    January 01, 2010 - Reducing Disparities in Health Care Quality for Priority - 2010 Project Name Reducing Disparities in Health Care Quality for Priority Populations: An Approach Focused on Improving Care in Under-resourced Settings Using Health IT and Other Quality Improvement Strategies Principal Investigator…
  17. psnet.ahrq.gov/issue/safe-medication-prescribing-training-and-experience-medical-students-and-housestaff-large
    December 22, 2008 - Study Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. Citation Text: Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical students and housestaff at a large teachin…
  18. psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
    May 03, 2023 - Book/Report Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Citation Text: Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …
  19. psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
    February 24, 2011 - Study Classic Communication failures: an insidious contributor to medical mishaps. Citation Text: Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. Copy Citation Format:…
  20. psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
    December 04, 2016 - Study Delineation of risk through the exploration of a culture of safety in community home health. Citation Text: Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:…