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  1. psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
    February 17, 2011 - Commentary The patient who falls: "It's always a trade-off." Citation Text: Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
  2. psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events
    July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …
  3. psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
    February 19, 2020 - Study Patient safety in trauma: maximal impact management errors at a level I trauma center. Citation Text: Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-27…
  4. psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
    November 16, 2022 - Study Frequency of pediatric medication administration errors and contributing factors. Citation Text: Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e31820…
  5. psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-cancer-argument-oral-cancer-checklist
    March 13, 2024 - Commentary Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Citation Text: Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214. Copy Citation …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…
  7. psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
    September 24, 2017 - Review Communication errors in radiology—pitfalls and how to avoid them. Citation Text: Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/bedside-detection-awareness-vegetative-state-cohort-study
    December 16, 2020 - Study Bedside detection of awareness in the vegetative state: a cohort study. Citation Text: Cruse D, Chennu S, Chatelle C, et al. Bedside detection of awareness in the vegetative state: a cohort study. Lancet. 2011;378(9809):2088-94. doi:10.1016/S0140-6736(11)61224-5. Copy Citation …
  9. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
    May 01, 2023 - Tool: Two-Challenge Rule The Two-Challenge Rule is another tool used to facilitate team members' speaking up. It was developed to manage conflict when team members’ perception of a situation differs. Human factor experts developed the rule to help airline captains prevent disasters when otherwise excellent deci…
  10. psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk
    September 29, 2017 - Study It's always something: hospital nurses managing risk. Citation Text: Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755. Copy Citation Format: DOI Google Sc…
  11. psnet.ahrq.gov/issue/structured-communication-patient-safety-emergency-medical-services-legal-case-report
    November 21, 2021 - Commentary Structured communication for patient safety in emergency medical services: a legal case report. Citation Text: Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi…
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rybowski.pdf
    January 01, 2017 - CAHPS Elicitation Protocol Webcast Implementation of the CAHPS Elicitation Protocol Lise Rybowski The Severyn Group www.ahrq.gov/cahps Two Options for Administration • As part of the Clinician & Group Survey • To take advantage of the sampling frame for the survey • To facilitate linking of narrative respons…
  13. psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
    May 25, 2016 - Commentary Applying human-centered design thinking to enhance safety in the OR. Citation Text: Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. Copy Citation Format: D…
  14. www.ahrq.gov/sitemap.html
    September 15, 2025 - AHRQ Main Site Topics Priority Populations About Priority Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents Special Healthcare Needs Women Information in Spanish Programs Rese…
  15. www.uspreventiveservicestaskforce.org/home/getfilebytoken/tmpufJqkzbptG4uBtSGnam
    September 01, 2022 - Screening for Syphilis Infection in Nonpregnant Adolescents and Adults Clinician Summary of USPSTF Recommendation Screening for Syphilis Infection in Nonpregnant Adolescents and Adults September 2022 What does the USPSTF recommend? A Grade …
  16. psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…
  17. integrationacademy.ahrq.gov/news-and-events/news/engagement-and-retention-nonabstinent-patients-sud-treatment-new-asam-clinical
    December 20, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  18. meps.ahrq.gov/mepsweb/survey_comp/household.jsp
    December 02, 2022 - Medical Expenditure Panel Survey Household Component Overview   Skip to main content An official website of the Department of Health & Human Services More Back Sear…
  19. psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
    November 13, 2024 - Commentary Nil per os orders for imaging: a teachable moment. Citation Text: Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. Copy Citation Format: DOI Googl…
  20. www.uspreventiveservicestaskforce.org/home/getfilebytoken/WJE2r5v4CHc9dMZ4GT7dnT
    Clinical Summary: Screening for HIV Infection Clinical Summary: Screening for HIV Infection Population Adolescents and adults aged 15 to 65 years Pregnant Persons Recommendation Screen for HIV infection. Grade: A Screen for HIV infection. Grade: A Risk Assessment Although all adolesc…