-
psnet.ahrq.gov/issue/opioid-prescribing-decreases-after-learning-patients-fatal-overdose
January 18, 2023 - Study
Emerging Classic
Opioid prescribing decreases after learning of a patient's fatal overdose.
Citation Text:
Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose. Science. 2018;361(6402):588-590. doi:10…
-
psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
-
psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - Study
Classic
Wide variation and overprescription of opioids after elective surgery.
Citation Text:
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…
-
psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad
December 19, 2018 - Study
Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation.
Citation Text:
Bell SK, Smulowitz PB, Woodward AC, et al. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implem…
-
psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly
September 01, 2016 - Commentary
Emerging Classic
What we can do about maternal mortality—and how to do it quickly.
Citation Text:
Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…
-
psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
October 25, 2023 - Study
Alarm burden and the nursing care environment: a 213-hospital cross-sectional study.
Citation Text:
Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2…
-
psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - Review
The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature.
Citation Text:
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…
-
psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
January 03, 2017 - Study
Classic
Organizational factors associated with high performance in quality and safety in academic medical centers.
Citation Text:
Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…
-
psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster
April 29, 2018 - Study
Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial
Citation Text:
Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…
-
psnet.ahrq.gov/issue/nursing-time-devoted-medication-administration-long-term-care-clinical-safety-and-resource
February 11, 2009 - Study
Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications.
Citation Text:
Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J …
-
psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
June 19, 2019 - Review
Emerging Classic
Impact of medication reconciliation for improving transitions of care.
Citation Text:
Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):C…
-
www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
November 01, 2018 - Evaluating the Results of a Quality Reporting Project
The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve.
What consumer audience were you trying to reach?
What changes …
-
www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - Making Adjustments to Health Care Quality Scores
One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
-
psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
March 01, 2011 - Study
Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system.
Citation Text:
Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/intro.html
October 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State Enhanc…
-
psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
April 12, 2011 - Study
Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs.
Citation Text:
Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related …
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-lee.pdf
June 02, 2025 - Creative Strategies to Improve Patient Care Experience - Part 4 Lee
What Is A Creative Idea?
Creative idea: An idea that is novel and useful
Creative
Improvement
Ideas
Process
Improvement
Promoting efficiency
by tweaking existing
routines
Patient Engagement
Enhancing patient
partnership by
knowing…
-
psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
January 22, 2016 - Study
Effects of patient-, environment- and medication-related factors on high-alert medication incidents.
Citation Text:
Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…
-
psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
October 31, 2014 - Study
Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012.
Citation Text:
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…
-
psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
September 04, 2016 - Study
Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…