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  1. psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
    January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. Citation Text: Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…
  2. psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
    September 01, 2021 - Study Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Citation Text: Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…
  3. 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…
  4. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 4. AHRQ's Recent Primary Care Grants and Resources Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Ex…
  5. www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
    August 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors AUG 22 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. Too many Americans have experienced the health-related consequences and anxieties that f…
  6. psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
    June 28, 2017 - Study Patient, physician, medical assistant, and office visit factors associated with medication list agreement. Citation Text: Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2…
  7. psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review
    July 14, 2010 - Study Classic Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Citation Text: Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Ann Intern Med. 2003;138(6):49…
  8. www.ahrq.gov/coronavirus/data-analytics.html
    August 01, 2023 - Data and Analytics AHRQ data resources and data analyses help decision makers understand healthcare trends and identify opportunities for improvement. These data can help inform the COVID-19 strategies developed by researchers, policymakers, and decision makers at national, State, and local levels. Healthcare…
  9. 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 …
  10. 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…
  11. 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…
  12. psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
    July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…
  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/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
    May 18, 2022 - Study The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. Citation Text: Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
  15. psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
    August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
  16. psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
    March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…
  17. psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
    April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…
  18. 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…
  19. psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
    June 21, 2016 - Review Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Citation Text: Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse eve…
  20. psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
    October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …