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psnet.ahrq.gov/node/40552/psn-pdf
June 22, 2011 - Don't come back, hospitals say.
June 22, 2011
Landro L.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
This newspaper article describes government-funded and hospital-based efforts to improve discharge and
reduce preventable readmissions.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
https:…
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psnet.ahrq.gov/node/37904/psn-pdf
July 09, 2008 - Evidence shows cost and patient safety benefits of
emergency pharmacists.
July 9, 2008
Clancy CM.
https://psnet.ahrq.gov/issue/evidence-shows-cost-and-patient-safety-benefits-emergency-pharmacists
This article discusses activities related to reducing adverse drug events in emergency departments (EDs)
and highligh…
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psnet.ahrq.gov/node/74143/psn-pdf
December 01, 2021 - New York, NY: Commonwealth Fund; October 18, 2021
https://psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices
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psnet.ahrq.gov/node/845352/psn-pdf
September 06, 2023 - Understanding and Improving Diagnostic Safety in
Ambulatory Care.
September 6, 2023
Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
The articulation of diagnostic error in the ambulatory setting i…
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psnet.ahrq.gov/node/837979/psn-pdf
August 31, 2022 - Maternal Health Research Centers of Excellence (U54
Clinical Trial Optional).
August 31, 2022
National Institutes of Health. August 11, 2022. RFA-HD-23-035.
https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
Maternity care is increasingly being recognized as …
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psnet.ahrq.gov/node/846455/psn-pdf
March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not
Allowed).
March 22, 2023
PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023
https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
Approaching diagnosis as a team activity is seen as a key approach to di…
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psnet.ahrq.gov/node/50784/psn-pdf
January 08, 2020 - Improving Quality of Care and Patient Outcomes During
Care Transitions (R01).
January 8, 2020
Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068.
https://psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
Communication during patient tra…
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psnet.ahrq.gov/node/863225/psn-pdf
February 28, 2024 - New York, NY: The Commonwealth Fund; February 15,
2024.
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psnet.ahrq.gov/node/39632/psn-pdf
May 20, 2016 - Medical Liability Reform & Patient Safety Initiative.
May 20, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate
medical liability …
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psnet.ahrq.gov/node/36957/psn-pdf
October 16, 2008 - The Patient Safety in Surgery Study.
October 16, 2008
J Am Coll Surg. 2007;204(6):1087-1300.
https://psnet.ahrq.gov/issue/patient-safety-surgery-study
This special issue shares the results of the AHRQ-funded Patient Safety in Surgery Study,
which compared surgical outcomes at Veterans Affairs' medical centers with…
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psnet.ahrq.gov/node/867533/psn-pdf
January 15, 2025 - AHRQ announces interest in health services research to
reduce emergency department boarding and hospital
crowding.
January 15, 2025
AHRQ announces interest in health services research to reduce emergency department boarding and
hospital crowding. Agency for Healthcare Quality and Research. Special Emphasis Notice.…
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psnet.ahrq.gov/node/37505/psn-pdf
February 06, 2008 - Washington DC: The Commonweath Fund; January 1, 2008.
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psnet.ahrq.gov/node/42187/psn-pdf
April 10, 2013 - New York, NY: The Commonwealth Fund; March 22, 2013.
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psnet.ahrq.gov/node/851661/psn-pdf
July 26, 2023 - July 26, 2023
New York, NY: United Nations Population Fund; July 2023.
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psnet.ahrq.gov/node/43429/psn-pdf
October 11, 2016 - CA sitting on millions in hospital fines.
October 11, 2016
Clark C.
https://psnet.ahrq.gov/issue/ca-sitting-millions-hospital-fines
Although California has collected an estimated $15 million in penalties from hospitals for adverse events,
this news piece describes how much of the money has yet to be allocated or s…
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psnet.ahrq.gov/node/38233/psn-pdf
March 03, 2010 - The Science of Simulation in Healthcare: Defining and
Developing Clinical Expertise.
March 3, 2010
Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.
https://psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise
This special issue highlights an AHRQ-funded sympo…
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psnet.ahrq.gov/node/39474/psn-pdf
June 27, 2011 - A model for medication safety event detection.
June 27, 2011
Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care.
2010;22(3):179-86. doi:10.1093/intqhc/mzq014.
https://psnet.ahrq.gov/issue/model-medication-safety-event-detection
This AHRQ-funded work describes a model to iden…
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psnet.ahrq.gov/node/36030/psn-pdf
June 09, 2011 - Human factors of complex sociotechnical systems.
June 9, 2011
Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35.
https://psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
In this AHRQ–funded study, the author discusses how working across boundaries (organizati…
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psnet.ahrq.gov/node/38187/psn-pdf
October 29, 2008 - The importance of simulation: preventing hand-off
mistakes.
October 29, 2008
Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627.
doi:10.1016/j.aorn.2008.09.007.
https://psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
This article discusses an AHRQ…
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psnet.ahrq.gov/node/35539/psn-pdf
March 29, 2010 - Differentiating close calls from errors: a multidisciplinary
perspective.
March 29, 2010
Etchegaray JM; Thomas EJ; Geraci JM; Simmons D; Martin SK.
https://psnet.ahrq.gov/issue/differentiating-close-calls-errors-multidisciplinary-perspective
In this AHRQ-funded study, the investigators determined that health care …