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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/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - Study
Classic
Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.
Citation Text:
Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional …
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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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digital.ahrq.gov/ahrq-funded-projects/development-electronic-health-record-format-children/annual-summary/2012
January 01, 2012 - Development of an Electronic Health Record Format for Children - 2012
Project Name
Development of an Electronic Health Record Format for Children
Principal Investigator
Finley, Scott
Organization
Westat
Funding Mechanism
Inter-Agency Agreement
Contract Number …
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
November 15, 2023 - Study
Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic.
Citation Text:
Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of patients with minor trauma in the outpatient clinic. Sca…
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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/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - Study
Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.
Citation Text:
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatr…
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psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and
May 18, 2022 - Study
Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.
Citation Text:
Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…
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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/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
September 21, 2016 - Study
Increased risk of burnout for physicians and nurses involved in a patient safety incident.
Citation Text:
Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…
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psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2-study
May 19, 2021 - Study
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.
Citation Text:
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):4…
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psnet.ahrq.gov/issue/cluster-randomized-trial-interventions-improve-work-conditions-and-clinician-burnout-primary
January 23, 2017 - Study
A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study.
Citation Text:
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work Condition…
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psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
August 24, 2022 - Study
Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events.
Citation Text:
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …
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psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
November 12, 2014 - Study
Effects of the I-PASS nursing handoff bundle on communication quality and workflow.
Citation Text:
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…