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  1. Quality measures of clinical pharmacy services during transitions of care. | PSNet

    psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…

  2. Using Medical Emergency Teams to detect preventable adverse events. | PSNet

    psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
    December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

  3. Predicting patient complaints in hospital settings. | PSNet

    psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
    February 27, 2008 - Study Predicting patient complaints in hospital settings. Citation Text: Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. Copy Citation Format: DOI Google Scholar Pu…

  4. Beyond the prescription: medication monitoring and adverse drug events in older adults. | PSNet

    psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
    August 04, 2021 - Commentary Beyond the prescription: medication monitoring and adverse drug events in older adults. Citation Text: Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…

  5. Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. | PSNet

    psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
    June 13, 2015 - Study Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. Citation Text: Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient…

  6. Culture-Check-Uptool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    June 02, 2025 - Culture Check-Up Tool Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient safety culture, your results provide a snapshot of th…

  7. Culture Check-Up Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
    December 01, 2012 - Culture Check-Up Tool CUSP Toolkit Health care provider roles Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient…

  8. Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. | PSNet

    psnet.ahrq.gov/issue/action-research-simulation-team-communication-and-bringing-tacit-voice-society-simulation
    April 16, 2019 - Study Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. Citation Text: Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for simulation in healthcare. Simul Heal…

  9. The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). | PSNet

    psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014
    June 03, 2020 - Review The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). Citation Text: Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). Nurs Econ. 2…

  10. Culture Checkup Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
    July 01, 2023 - Culture Checkup Tool AHRQ Safety Program for Perinatal Care Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess…

  11. Innovative use of the electronic health record to support harm reduction efforts. | PSNet

    psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
    July 31, 2013 - Study Innovative use of the electronic health record to support harm reduction efforts. Citation Text: Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410. Copy Citatio…

  12. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. | PSNet

    psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
    February 08, 2012 - Study Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Citation Text: Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/…

  13. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
    September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…

  14. Why pediatricians fail to diagnose hypertension: a multicenter survey. | PSNet

    psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
    August 26, 2020 - Study Why pediatricians fail to diagnose hypertension: a multicenter survey. Citation Text: Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066. Copy Cita…

  15. Graphics for Section 8, Feasibility (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-8.pdf
    November 26, 2013 - Graphics for Section 8, Feasibility                                                                                         Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic Prophylaxis for Children with Sickle Cell D…

  16. Staff Member Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
    June 02, 2025 - Staff Member Survey P a g e | 1 PLEASE FLIP TO PAGE 2 Version 3 FOR COACH ONLY: PRACTICE ID: _____________ Healthy Hearts Northwest Follow-up Staff Member Survey (#3) Name of your practice: ________________________________________ Address of your practice: ____________________________…

  17. On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

    psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
    January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…

  18. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

    psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
    March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

  19. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet

    psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
    February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…

  20. Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. | PSNet

    psnet.ahrq.gov/issue/sociocultural-factors-influencing-incident-reporting-among-physicians-and-nurses
    May 18, 2016 - Study Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. Citation Text: Hewitt T, Chreim S, Forster AJ. Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Und…
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