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psnet.ahrq.gov/issue/varying-rates-patient-identity-verification-when-using-computerized-provider-order-entry
July 07, 2021 - Study
Varying rates of patient identity verification when using computerized provider order entry.
Citation Text:
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928…
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psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
September 21, 2022 - Review
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.
Citation Text:
Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL17LOINCAdvicetoothers.pdf
January 01, 2007 - Appendix 17a
LOINC Mapping:
Advice to others in understanding/employing HL7 and/or LOINC
Four aspects might be helpful for LOINC mapping: formal education, tools, content to map. Not all
of the aspects are defined for HL-7; we include only formal education.
Formal Education
HL-7: There is an educational w…
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psnet.ahrq.gov/issue/support-healthcare-workers-and-patients-after-medical-error-through-mutual-healing-another
June 16, 2021 - Study
Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety.
Citation Text:
Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another…
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psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta
October 14, 2015 - Review
Classic
The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis.
Citation Text:
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systema…
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psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
October 11, 2017 - Study
Effects of a communication-and-resolution program on hospitals' malpractice claims and costs.
Citation Text:
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836…
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psnet.ahrq.gov/issue/covid-19-related-negative-emotions-and-emotional-suppression-are-associated-greater-risk
November 17, 2021 - Study
COVID-19 related negative emotions and emotional suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study.
Citation Text:
Huff NR, Liu G, Chimowitz H, et al. COVID-19 related negative emotions and emotional suppression are associated …
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psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
March 02, 2022 - Study
Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.
Citation Text:
Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and th…
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www.ahrq.gov/es/programs/index.html?page=1
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/floating-intensive-care-units-nurses-messages-instant-action-promote-patient-safety
August 15, 2018 - Study
Floating to intensive care units: nurses' messages for instant action to promote patient safety.
Citation Text:
Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. …
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www.ahrq.gov/patients-consumers/care-planning/errors/5steps/cincorecsp.html
September 01, 2014 - Cinco recomendaciones para recibir una mejor atención médica
La seguridad de pacientes es uno de los desafíos de sanidad más grande de los Estados Unidos. Un informe del Instituto de Medicina (Institute of Medicine) declara que aproximadamente entre 44,000 a 98,000 personas mueren anualmente en hosp…
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psnet.ahrq.gov/issue/residents-response-duty-hour-regulations-follow-national-survey
December 02, 2014 - Study
Classic
Residents' response to duty-hour regulations—a follow-up national survey.
Citation Text:
Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
July 01, 2025 - Quality and Safety Review System (QSRS)
Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…
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www.ahrq.gov/hai/decolonization/index.html
May 01, 2025 - Decolonization
Decolonization is an infection prevention practice that removes germs from the skin. It is often used in healthcare facilities when patients carry methicillin-resistant Staphylococcus aureus (MRSA) or other dangerous germs on their bodies. It can keep them from developing an infection themselve…
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psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii
March 21, 2012 - Study
Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.
Citation Text:
Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Citation Text:
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
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psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
May 01, 2024 - Study
Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study.
Citation Text:
Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…
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www.ahrq.gov/news/newsroom/case-studies/202001.html
April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools
Search All Impact Case Studies
April 2020
LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - Study
Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method.
Citation Text:
Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf. 201…
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - Study
Assessment of perioperative outcomes among surgeons who operated the night before.
Citation Text:
Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…