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  1. www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf3.html
    October 01, 2014 - Section 3. Appendix Additional Prevention Materials and Resources from AHRQ When you use The Guide to Clinical Preventive Services 2009 in the classroom or in practice, here are some additional products AHRQ developed based on the recommendations that you may find helpful. These items can be printed from yo…
  2. psnet.ahrq.gov/issue/can-residents-detect-errors-technique-while-observing-central-line-insertions
    April 12, 2019 - Study Can residents detect errors in technique while observing central line insertions? Citation Text: Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.02…
  3. psnet.ahrq.gov/issue/steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs
    September 20, 2011 - Study A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Citation Text: Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:1…
  4. psnet.ahrq.gov/issue/are-autopsy-findings-still-relevant-management-critically-ill-patients-modern-era
    April 22, 2015 - Study Are autopsy findings still relevant to the management of critically ill patients in the modern era? Citation Text: Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill patients in the modern era? Crit Care Med. 2014;42(2):336…
  5. psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
    September 28, 2016 - Study Emerging Classic Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. Citation Text: Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropri…
  6. psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
    November 21, 2021 - Study Classic Association of overlapping surgery with increased risk for complications following hip surgery. Citation Text: Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…
  7. psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
    January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. Citation Text: Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…
  8. psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
    September 01, 2021 - Study Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Citation Text: Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…
  9. psnet.ahrq.gov/issue/multicenter-study-evaluate-benefits-technology-assisted-workflow-iv-room-efficiency-costs-and
    July 14, 2009 - Study Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Citation Text: Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …
  10. psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
    November 04, 2020 - Review Accuracy of pediatric trauma field triage: a systematic review. Citation Text: van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. Copy Citation Fo…
  11. psnet.ahrq.gov/issue/improving-safety-and-eliminating-redundant-tests-cutting-costs-us-hospitals
    May 27, 2011 - Study Classic Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Citation Text: Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(…
  12. psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
    March 14, 2022 - Study Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. Citation Text: Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward round expe…
  13. www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors AUG 22 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. Too many Americans have experienced the health-related consequences and anxieties that f…
  14. psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
    July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Citation Text: Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
  15. psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
    November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …
  16. psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
    July 15, 2015 - Study Evaluation of outcomes from a national patient-initiated second-opinion program. Citation Text: Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. Copy Citation …
  17. psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts
    January 07, 2015 - Study Self-reported uptake of recommendations after dissemination of medication incident alerts. Citation Text: Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1…
  18. psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
    August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
  19. psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
    March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
  20. psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
    February 12, 2020 - Study Emerging Classic Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study Citation Text: Montoy JCC, Coralic Z, Herring AA, et al…