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  1. psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
    February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …
  2. psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
    June 13, 2011 - Study Classic Identification of in-hospital complications from claims data. Is it valid? Citation Text: Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. Copy Cit…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/sopstipsheet.pdf
    June 02, 2025 - Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture This Tip Sheet will help you understand the importance of high survey response rates and provide suggestions for improving your response rates.…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
    December 01, 2017 - Tool: Briefing and Debriefing Tool Briefing and Debriefing Tool Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010.1 Using National Healthcare S…
  5. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - Briefing and Debriefing Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
  6. psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery
    February 01, 2012 - Study Classic The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend. Citation Text: Goldstein SD, Papandria DJ, Aboagye J, et al. The "weekend effect" in pediatric surgery - increased mortality fo…
  7. psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
    July 22, 2015 - Review Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. Citation Text: Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…
  8. psnet.ahrq.gov/issue/principles-conservative-prescribing
    April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …
  9. psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
    January 18, 2013 - Study The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. Citation Text: Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…
  10. psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
    June 16, 2010 - Study Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. Citation Text: Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a …
  11. psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
    April 29, 2018 - Study Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. Citation Text: Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…
  12. psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
    October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…
  13. www.ahrq.gov/sops/about/patient-safety-culture.html
    June 01, 2024 - What Is Patient Safety Culture? Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…
  14. psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
    January 19, 2014 - Study Sustaining reliability on accountability measures at the Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544. Cop…
  15. digital.ahrq.gov/ahrq-funded-projects/secure-messaging-pediatric-respiratory-medicine-setting
    January 01, 2023 - Secure Messaging in a Pediatric Respiratory Medicine Setting Project Final Report ( PDF , 1.14 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - Com…
  16. psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable
    August 04, 2021 - Review An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Citation Text: Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…
  17. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 3.82 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  18. psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
    May 18, 2022 - Study Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. Citation Text: Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive …
  19. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/bonnevie-l-et-al-2005
    January 01, 2005 - Bonnevie L et al. 2005 "The use of computerized decision support systems in preventive cardiology-principal results from the national PRECARD survey in Denmark." Reference Bonnevie L, Thomsen T, Jorgensen T. The use of computerized decision support systems in preventive cardiology-principal results fr…
  20. psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events-children-and
    March 24, 2021 - Study National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. Citation Text: Cohen AL, Budnitz DS, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events in children and …