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  1. digital.ahrq.gov/ahrq-funded-projects/patient-reminders-and-notifications
    January 01, 2023 - Patient Reminders and Notifications Project Final Report ( PDF , 557.74 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in t…
  2. psnet.ahrq.gov/issue/implementation-hand-hygiene-health-care-facilities-results-who-hand-hygiene-self-assessment
    September 09, 2020 - Study Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019. Citation Text: de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities: results from the WHO Hand H…
  3. digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti/annual-summary/2010
    January 01, 2010 - Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) - 2010 Project Name Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) Principal Investigator Lehmann, Christoph Organization Johns Hopkins University …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35010/psn-pdf
    May 18, 2005 - Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. May 18, 2005 Galloway A. Seattle Post-Intelligencer. May 4, 2005. https://psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes- patient This article explores…
  5. Section 7C (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7c.pdf
    June 02, 2025 - Section 7C Table VII.C.1 – Distribution of insurance types and adverse events across sites based on GAPPS study analytic sample (n = 3,151) Insurance n (%) AE rate P-Value Medicaid 1,216 (38.6%) 0.14 Refe…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35009/psn-pdf
    May 27, 2011 - Guided prescription of psychotropic medications for geriatric inpatients. May 27, 2011 Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. https://psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-ger…
  7. digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/beyond
    January 01, 2023 - Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. Citation Lambert BL, Schroeder SR, Cohen MR, Paparella S. Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. BMJ Qual Saf. 2023 Jan;32(1):6-9. doi: 10.11…
  8. digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project/publication/care
    January 01, 2023 - Care coordination measures atlas Citation McDonald KM, Schultz E, Albin L, et al. Care coordination measures atlas (Prepared by Stanford University under subcontract to Battelle on Contract No. 290-04-0020). AHRQ Publication No. 11-0023-EF. Rockville, MD: Agency for Healthcare Research and Quality. No…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42184/psn-pdf
    December 18, 2013 - Why don't we know whether care is safe? December 18, 2013 Pham JC, Frick KD, Pronovost P. Why don't we know whether care is safe? Am J Med Qual. 2013;28(6):457-63. doi:10.1177/1062860613479397. https://psnet.ahrq.gov/issue/why-dont-we-know-whether-care-safe This commentary discusses barriers to understanding and m…
  10. cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-10/CQL%20to%20CDS%20Hooks%20cards_0.txt
    January 01, 2023 - Mapping of CQL conditions to CDS Hooks cards Condition: NoDDimerNoWells Card: It is recommended to assess the patient's risk for pulmonary embolism (PE) and evaluate D-dimer levels before proceeding with a CTPA order. Use the following link to evaluate the risk. Launch Questionnaire: Yes Condition: NoDDimerWellsLessT…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35357/psn-pdf
    February 03, 2011 - Effects of work hour reduction on residents' lives: a systematic review. February 3, 2011 Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34815/psn-pdf
    January 31, 2011 - The role of anesthesia in surgical mortality. January 31, 2011 DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality The authors of this study characterized the attributable mortality rate from anesthes…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39642/psn-pdf
    December 21, 2014 - Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. December 21, 2014 Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg.2010.88. https://psnet.ahrq.g…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38161/psn-pdf
    October 22, 2008 - Discrepancies between home medications listed at hospital admission and reported medical conditions. October 22, 2008 Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother. 2008;6(3):161-6. doi:10.1016/j.amj…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50717/psn-pdf
    December 04, 2019 - Canada continues to lag behind other OECD countries on measures of patient safety December 4, 2019 Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Information; 2019. https://psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety This fact …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35090/psn-pdf
    June 22, 2009 - Improving end of life care: an information systems approach to reducing medical errors. June 22, 2009 Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. https://psnet.ahrq.gov/issue/improving-end-l…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-table-6.pdf
    June 02, 2025 - Section 6, Table 6 Construct Measurement Reliability Testing Table 6: Construct measurement reliability testing for multi-part indicators Number of items Average inter-item polychoric correlation Polychoric Ordinal Alp…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47649/psn-pdf
    January 09, 2019 - ASH Clinical Practice Guidelines on Venous Thromboembolism. January 9, 2019 Washington DC; American Society of Hematology. https://psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism The American Society of Hematology produced a series of guidelines on prophylaxis for venous thromboemboli…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60042/psn-pdf
    March 11, 2020 - At Walgreens, complaints of medication errors go missing. March 11, 2020 Gabler E. New York Times. February 23, 2020. https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing Response to reported safety concerns is a primary indicator of an organizational commitment to reducing and lear…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40516/psn-pdf
    July 15, 2013 - Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. July 15, 2013 Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…