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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Sustaining improvement of hospital-wide initiative for
patient safety and quality: a systematic scoping review.
February 1, 2023
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and
quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
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psnet.ahrq.gov/node/44614/psn-pdf
November 04, 2015 - Components of hospital perioperative infrastructure can
overcome the weekend effect in urgent general surgery
procedures.
November 4, 2015
Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can
Overcome the Weekend Effect in Urgent General Surgery Procedures. Ann Surg. 20…
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psnet.ahrq.gov/node/50620/psn-pdf
November 06, 2019 - Comparing rates of adverse events and medical errors on
inpatient psychiatric units at Veterans Health
Administration and community-based general hospitals.
November 6, 2019
Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on
Inpatient Psychiatric Units at Veterans Health…
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psnet.ahrq.gov/node/46953/psn-pdf
September 12, 2018 - An integrative review exploring the perceptions of
patients and healthcare professionals towards patient
involvement in promoting hand hygiene compliance in the
hospital setting.
September 12, 2018
Alzyood M, Jackson D, Brooke J, et al. An integrative review exploring the perceptions of patients and
healthcare pr…
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psnet.ahrq.gov/node/836713/psn-pdf
March 09, 2022 - Benefits of reporting and analyzing nursing students'
near-miss medication incidents.
March 9, 2022
Dennison S, Freeman M, Giannotti N, et al. Benefits of reporting and analyzing nursing students' near-miss
medication incidents. Nurse Educ. 2022;47(4):202-207. doi:10.1097/nne.0000000000001164.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors.
September 20, 2017
ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4.
https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors
Workflow process…
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psnet.ahrq.gov/node/45283/psn-pdf
June 29, 2016 - Goals and Priorities for Health Care Organizations to
Improve Safety Using Health IT. Revised Report.
June 29, 2016
Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology; 2016.
https://psn…
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psnet.ahrq.gov/node/44393/psn-pdf
August 12, 2015 - FDA Drug Safety Communication: FDA warns about
prescribing and dispensing errors resulting from brand
name confusion with antidepressant Brintellix
(vortioxetine) and antiplatelet Brilinta (ticagrelor).
August 12, 2015
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015.
https…
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psnet.ahrq.gov/node/46412/psn-pdf
October 11, 2017 - Team-based care: the changing face of cardiothoracic
surgery.
October 11, 2017
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery.
Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
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psnet.ahrq.gov/node/44361/psn-pdf
November 20, 2015 - Communication in healthcare: a narrative review of the
literature and practical recommendations.
November 20, 2015
Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature
and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals and
implications for multifactorial approaches to fall
prevention.
November 29, 2023
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken
communication of patients’…
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psnet.ahrq.gov/node/39916/psn-pdf
July 02, 2014 - Pediatric residents' decision-making around disclosing
and reporting adverse events: the importance of social
context.
July 2, 2014
Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting
adverse events: the importance of social context. Acad Med. 2010;85(10):161…
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psnet.ahrq.gov/node/852456/psn-pdf
August 16, 2023 - Residents, responsibility, and error: how residents learn
to navigate the intersection.
August 16, 2023
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate
the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45357/psn-pdf
October 09, 2016 - Leading article: how can I optimise my role as a leader
within the surgical team?
October 9, 2016
Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the
surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035.
https://psnet…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/index.html
May 01, 2025 - Primary Care Research Webinars
New 2025 Webinar Series: The Value and Impact of Primary Care Research Watch recordings and access slides from past webinars in this series: Approaches to Address the Health of Specific Patient Populations in Primary Care (May 1, 2025) The Impact of Consolidation and Ownership…
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hcup-us.ahrq.gov/db/state/siddist/Iowa2009_2010SID_CD.pdf
December 01, 2011 - The Iowa HCUP State Inpatient Databases (SID) for 2009 (dated June or August 2010)
and 2010 (dated September 2011) contain misleading discharge data from four hospitals
accounting for about 11 percent of the files. The affected discharge data include
incorrect reporting of the principal procedure and incorrect orde…
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www.uspreventiveservicestaskforce.org/apps/api.jsp
Prevention TaskForce API
Overview
The Prevention TaskForce is an application designed to help primary care clinicians identify the screening, counseling, and preventive medication services that are appropriate for their patients. The Prevention TaskForce API utilizes a Representational State Transfer (REST) archite…
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meps.ahrq.gov/data_files/publications/st315/stat315.shtml
March 01, 2011 - STATISTICAL BRIEF #315:
Hypertension in America: Estimates for the U.S. Civilian Noninstitutionalized Population, Age 18 and Older, 2008
Skip to main content
An official website of the Department of Health & Human Se…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital
and ED Visits Reports
Note: This part of the traini…