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www.ahrq.gov/patient-safety/research-summaries/index.html
August 01, 2025 - Patient Safety Research Summaries
As the lead federal agency for advancing patient safety, AHRQ invests in research and implementation projects that bridge the gap between research and the delivery of safer patient care. AHRQ-Funded Patient Safety Project Highlights reflect the work of agency grantees and contr…
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digital.ahrq.gov/care-setting/long-term-care-facility
January 01, 2023 - Long-Term Care Facility
A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Description
This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for research…
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psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
May 28, 2008 - Commentary
The creation and impact of a dedicated section on quality and patient safety in a clinical academic department.
Citation Text:
Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level solution?
Citation Text:
Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
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digital.ahrq.gov/care-setting/health-department
January 01, 2023 - Health Department
Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Description
This study aimed to improve data exchange between public health and clinical care information systems, and across public health itself, to enhan…
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hcup-us.ahrq.gov/db/nation/nis/reports/NISVarianceReport_Notification.pdf
July 01, 2004 - Microsoft Word - NISVarianceReport_Notification.doc
DATE: July 1, 2004
TO: Users of the HCUP Nationwide Inpatient Sample (NIS)
and Kids’ Inpatient Database (KID)
SUBJECT: Corrections to instructions on how to calculate variances
(standard errors)
Page 1 of 2
Memorandum
We have recently uncove…
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psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - Commentary
The elusive and illusive quest for diagnostic safety metrics.
Citation Text:
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Review
Distracted practice: a concept analysis.
Citation Text:
D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
November 21, 2021 - Study
Statewide identification of adverse events using retrospective nurse review: methods and outcomes.
Citation Text:
Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…
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psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
June 30, 2021 - Review
Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care.
Citation Text:
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…
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psnet.ahrq.gov/issue/processes-disciplining-nurses-unprofessional-conduct-serious-nature-critique
June 29, 2011 - Study
Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique.
Citation Text:
Johnstone M-J, Kanitsaki O. Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique. J Adv Nurs. 2005;50(4):363-71.
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psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - Study
Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making.
Citation Text:
Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a pilot study tracking contextual err…
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psnet.ahrq.gov/issue/obstetric-safety-and-quality
October 20, 2014 - Commentary
Obstetric safety and quality.
Citation Text:
Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918.
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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…
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psnet.ahrq.gov/issue/informatics-confronts-drug-drug-interactions
February 18, 2011 - Review
Informatics confronts drug–drug interactions.
Citation Text:
Percha B, Altman RB. Informatics confronts drug-drug interactions. Trends Pharmacol Sci. 2013;34(3):178-84. doi:10.1016/j.tips.2013.01.006.
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psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
April 19, 2013 - Commentary
ASHP guidelines on remote medication order processing.
Citation Text:
Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003.
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psnet.ahrq.gov/issue/quality-improvement-healthcare-new-zealand-part-2-are-our-patients-safe-and-what-are-we-doing
April 01, 2015 - Commentary
Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it?
Citation Text:
Merry A, Seddon M, Quality EPI and. Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it…
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psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
January 08, 2020 - Study
Tracking with virtual slides: a tool to study diagnostic error in histopathology.
Citation Text:
Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…