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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
July 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…
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psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
April 15, 2020 - Study
Comparison of methods to reduce bias from clinical prediction models of postpartum depression.
Citation Text:
Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…
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digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
January 01, 2023 - Automated Retract-and-Reorder Measures to Improve Medication Safety
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Using Digital Healthcare Tools to Improve Patient Safety
New measures to identify near-miss medication errors are a major advancement in patient safety …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/PJJXJEVA9oaAwep5x3ZvRn
August 01, 2024 - Summary of USPSTF Final Recommendation: Screening and Supplementation for Iron Deficiency and Iron Deficiency Anemia During Pregnancy
Clinicians
Summary of USPSTF Final Recommendation
Screening and Supplementation for Iron Deficiency and Iron Deficiency
…
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www.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
For Women’s Health Week, Let’s Make Prevention Primary
MAY
12
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
As we approach Mother’s Day and National Women's Health Week , all of us at AHRQ…
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psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed
November 16, 2016 - Study
Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers.
Citation Text:
Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical m…
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psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
January 23, 2019 - Review
Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database.
Citation Text:
Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
January 27, 2021 - Study
Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services
Citation Text:
Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…
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psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health-system-during-covid
December 23, 2020 - Commentary
Emerging Classic
Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic.
Citation Text:
Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care…
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psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and
July 13, 2022 - Study
Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.
Citation Text:
Mambrey V, Angerer P, Loerbroks A. Psychosocial working conditions as de…
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psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
September 23, 2020 - Study
The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.
Citation Text:
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…
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psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes
June 21, 2016 - Study
Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency.
Citation Text:
Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - Study
Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.
Citation Text:
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
June 27, 2012 - Study
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach.
Citation Text:
Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9)…
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Study
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.
Citation Text:
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…
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www.ahrq.gov/funding/training-grants/r36.html
November 01, 2023 - AHRQ Grants for Health Services Research Dissertation Program (R36)
AHRQ provides support to individuals for dissertation research in health services research as part of completing a research doctorate degree.
The AHRQ Grants for Health Services Research Dissertation Program (R36) provides dissertation grant…
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www.ahrq.gov/funding/training-grants/k-awards.html
September 01, 2023 - Career Development (K) Awards
AHRQ sponsors several career development awards intended to foster the career development of promising new investigators in the field of health services research. These programs provide salary and research support for a sustained period of time for early career clinicians and resea…
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psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
February 14, 2024 - Study
Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings.
Citation Text:
King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…
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psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality
August 20, 2018 - Study
Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety.
Citation Text:
Griffiths P, Dall'Ora C, Simon M, et al. Nurses' shift length and overtime working in 12 European countries: the association with pe…