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psnet.ahrq.gov/issue/advances-prevention-and-control-hais
August 20, 2018 - This AHRQ publication offers 19 papers that explore government-funded research into HAIs, including lessons
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psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
March 20, 2013 - appear to be associated with reduced inpatient mortality and adverse events, according to this AHRQ-funded
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psnet.ahrq.gov/issue/cluster-randomized-clinical-trial-improve-prescribing-patterns-ambulatory-pediatrics
April 04, 2011 - In this AHRQ-funded study, the researchers found that decision support improved prescribing behavior
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psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
May 24, 2012 - This AHRQ-funded effort is centered around principles of the comprehensive unit-based safety program
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psnet.ahrq.gov/issue/can-patients-be-part-solution-views-their-role-preventing-medical-errors
July 22, 2010 - This AHRQ-funded study conducted interviews with nearly 200 participants to assess their likelihood of
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - In this AHRQ-funded study, the authors reviewed elements of the hospital discharge process and defined
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psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
July 14, 2010 - This AHRQ–funded study investigated whether institutions implementing care management achieved improvements
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psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
November 23, 2016 - The AHRQ-funded investigators studied the effectiveness of combining a computerized provider order entry
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
February 23, 2011 - This AHRQ-funded study focused on the relationship between information technology implementation and
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psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
December 20, 2017 - This industry-funded, prospective direct observation study found that ready-to-administer intravenous
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - This AHRQ–funded research team determined that incident reports were made for less than 4% of adverse
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psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
October 13, 2018 - commentary discusses the development of an Intensive Care Unit Safety Reporting System (ICUSRS), an endeavor funded
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - This AHRQ-funded study describes one organization’s efforts to detail its preoperative process around
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - developed by high-performance fields outside health care and how those experiences informed an AHRQ-funded
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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - This AHRQ–funded study used root cause analysis to explore errors in a specific diagnostic procedure
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psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
June 30, 2009 - In this AHRQ–funded study, the investigators analyzed medication error and culture survey data from 78
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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - This report highlights 141 AHRQ-funded projects focused on understanding how health care information
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - This AHRQ-funded work describes a model to identify medication safety events that applies a systems approach
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for
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psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
December 24, 2008 - This AHRQ-funded publication provides a tool to help organizations identify health literacy issues, as