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  1. 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…
  2. 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/…
  3. 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 …
  4. 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 …
  5. 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…
  6. 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…
  7. 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…
  8. 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-…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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:…
  14. 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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…
  15. 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)…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…