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  1. psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
    October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…
  2. psnet.ahrq.gov/issue/assessment-fda-risk-evaluation-and-mitigation-strategy-transmucosal-immediate-release
    January 22, 2020 - Study Emerging Classic Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products. Citation Text: Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for Tra…
  3. digital.ahrq.gov/population/home-health-worker
    January 01, 2023 - Home Health Worker Home care nurses' perspectives regarding health information management among older adults. Citation Kang Y, Taylor JO, Osterhage K, Turner AM. Home care nurses' perspectives regarding health information management among older adults. Home Healthc Now. 2019 N…
  4. www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan153/ovarian-cancer-screening
    March 03, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Ovarian Cancer: Screening March 03, 2016 Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an o…
  5. psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
    November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…
  6. psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
    February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…
  7. psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
    November 20, 2024 - Study Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Citation Text: Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…
  8. psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
    June 19, 2019 - Review Emerging Classic Impact of medication reconciliation for improving transitions of care. Citation Text: Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…
  9. psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
    September 05, 2018 - Study Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. Citation Text: Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. d…
  10. psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensive
    June 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…
  11. www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
    November 01, 2018 - Evaluating the Results of a Quality Reporting Project The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve. What consumer audience were you trying to reach? What changes …
  12. www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
    January 01, 2023 - Making Adjustments to Health Care Quality Scores One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
  13. psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
    June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…
  14. psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer
    January 23, 2019 - Study Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. Citation Text: Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…
  15. psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
    April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…
  16. psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
    July 01, 2016 - Study Classic Variability in the measurement of hospital-wide mortality rates. Citation Text: Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …
  17. psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
    August 28, 2024 - Commentary Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. Citation Text: Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…
  18. psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
    March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…
  19. psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
    September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Famolaro The SOPS Databases Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS Databases 320 Hospitals Version 1.0 (2021) 172 Hospitals Version 2.0 (2021) 191 Nur…