-
psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
-
psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
-
psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
June 14, 2019 - Organizational Policy/Guidelines
CDC guideline for prescribing opioids for chronic pain—United States, 2016.
Citation Text:
Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49. doi:10.15585/mmwr.rr…
-
psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long
July 13, 2022 - Study
Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.
Citation Text:
Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA.…
-
psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
August 25, 2021 - Study
Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control.
Citation Text:
Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condi…
-
psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
April 24, 2018 - Study
Racial inequality in receipt of medications for opioid use disorder.
Citation Text:
Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412.
Copy Citation
Fo…
-
psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
November 17, 2021 - Study
Classic
Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses.
Citation Text:
Hadland SE, Rivera-Aguirre A, Marshall BDL, et al. Association of Pharmaceutical Industry Marketing of Opioid Products …
-
psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - Study
Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.
Citation Text:
Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the Gen…
-
psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.
Citation Text:
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…
-
psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Study
Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.
Citation Text:
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix L. Intensive Care Unit Infographic Poster
…
-
www.ahrq.gov/talkingquality/explain/numbers.html
November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report?
Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary.
Quality Information Is New
Som…
-
psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
May 25, 2022 - Commentary
A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic.
Citation Text:
Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …
-
psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - Commentary
Two fatal cases of accidental intrathecal vincristine administration: learning from death events.
Citation Text:
Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…
-
psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
June 22, 2017 - Study
Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.
Citation Text:
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…
-
www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina.
South Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
-
psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
September 26, 2012 - Study
Morning handover of on-call issues: opportunities for improvement.
Citation Text:
Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033.
Copy Citation
Fo…
-
psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
October 06, 2016 - Study
The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.
Citation Text:
Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and decreased operating room delays…
-
psnet.ahrq.gov/issue/surgical-safety-and-hospital-volume-across-wide-range-interventions
April 04, 2011 - Study
Surgical safety and hospital volume across a wide range of interventions.
Citation Text:
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
Copy Citation
…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
June 02, 2025 - Job Aid: Practice Assessments and Surveys
Primary Care Practice Facilitator
Training Series
1
Job Aid: Practice Assessments and Surveys
Overview
Practice assessments and surveys are simple and non-threatening ways for a practice to gather
information, generate ideas for improvements, and test and…