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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
    June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…
  2. psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
    March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…
  3. psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
    June 18, 2014 - Commentary HomeNet: ensuring patient safety with medical device use in the home. Citation Text: Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home Healthc Nurse. 2009;27(5):300-7. Copy Citation Format: Google Scholar PubMe…
  4. psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
    February 01, 2023 - Commentary Independent double-checks for high-alert medications: essential practice. Citation Text: Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. Copy Citation …
  5. psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors
    October 23, 2024 - Study Effectiveness of computerized provider order entry with dose range checking on prescribing errors. Citation Text: Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi…
  6. psnet.ahrq.gov/issue/internal-medicine-work-hours-trends-associations-and-implications-future
    February 03, 2016 - Study Internal medicine work hours: trends, associations, and implications for the future. Citation Text: Shiotani LM, Parkerton PH, Wenger N, et al. Internal medicine work hours: trends, associations, and implications for the future. Am J Med. 2008;121(1):80-5. doi:10.1016/j.amjmed.20…
  7. psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
    December 03, 2014 - Study Implementing root cause analysis in an area health service: views of the participants. Citation Text: Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8. Copy Citation Fo…
  8. psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
    October 05, 2015 - Commentary The health implications of apologizing after an adverse event. Citation Text: Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001. Copy Citation Format: DOI Goo…
  9. psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
    December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-tech-specs.pdf
    June 02, 2025 - CHIPRA 236: Technical Specifications Rate of participating child psychiatrists, neurodevelopmental pediatricians, and developmental-behavioral pediatricians who have seen ≥1 enrolled child, aged <18 years, for an outpatient visit during the measurement year. A higher rate indicates better performance, as…
  11. psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
    December 20, 2023 - Study Trend analysis of radiation therapy incidents over seven years. Citation Text: Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002. Copy Citation Format: DOI …
  12. psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
    October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
  13. psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
    October 02, 2024 - Review Can technology improve intershift report? What the research reveals. Citation Text: Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. Copy Citation Form…
  14. psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…
  15. psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
    September 23, 2020 - Study Effect of pharmacists on medication errors in an emergency department. Citation Text: Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391. Copy Citation …
  16. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4tab4-4.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table 4-4: Language Categories in Selected Collection Instruments Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Revi…
  17. psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
    November 25, 2013 - Organizational Policy/Guidelines Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Citation Text: Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…
  18. psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
    November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…
  19. psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
    January 16, 2019 - Study Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Citation Text: Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a…
  20. psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
    March 13, 2024 - Commentary Diagnostic overshadowing in dentistry. Citation Text: Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…