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psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
March 03, 2011 - Study
Classic
Patterns of communication breakdowns resulting in injury to surgical patients.
Citation Text:
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…
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hcup-us.ahrq.gov/db/vars/discwt/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
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hcup-us.ahrq.gov/db/vars/d10cwt_u/nisnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Espanol
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hcup-us.ahrq.gov/db/vars/discwtcharge/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Careers
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Espanol
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psnet.ahrq.gov/issue/effect-health-care-professional-disruptive-behavior-patient-care-systematic-review
February 16, 2022 - Review
The effect of health care professional disruptive behavior on patient care: a systematic review.
Citation Text:
Hicks S, Stavropoulou C. The effect of health care professional disruptive behavior on patient care: a systematic review. J Patient Saf. 2022;18(2):138-143. doi:10.1097/…
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psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
March 14, 2022 - Review
Emerging Classic
Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review.
Citation Text:
Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…
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psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care
December 19, 2018 - Commentary
Classic
Refocusing the lens: patient safety in ambulatory chronic disease care.
Citation Text:
Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - Commentary
Experience with family activation of rapid response teams.
Citation Text:
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223.
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2016
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2016. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
March 15, 2023 - Study
We are not there yet: a qualitative system probing study of a hospital rapid response system.
Citation Text:
Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…
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psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-century
October 19, 2022 - Study
The impact of video games on training surgeons in the 21st century.
Citation Text:
Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007;142(2):181-6; discusssion 186.
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psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
August 02, 2015 - Study
BONE break: a hot debrief tool to reduce second victim syndrome for nurses.
Citation Text:
Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.…
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psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-services
May 12, 2021 - Commentary
Classic
Enhancing psychological safety in mental health services.
Citation Text:
Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1.
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digital.ahrq.gov/national-webinars/prepping-future-digital-solutions-aging-populations
January 01, 2023 - Prepping for the Future: Digital Solutions for Aging Populations
Event Date:
October 08, 2025 | 2:30pm – 4:00pm ET
To Register:
Go to this link: https://ahrqwebinar.webex.com/weblink/register/re71a194111d9a5a652a12a75139b4af2 Click “Register” Enter your informatio…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives
January 01, 2023 - Past Initiatives
Evaluation of Meaningful Use (2013-2015)
AHRQ worked in partnership with the Office of the National Coordinator for Health IT and CMS to support rapid cycle research on Stage 3 of the Meaningful Use (MU) incentive program. In 2103 AHRQ awarded 12 grants and contracts under…
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - Study
Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.
Citation Text:
Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - Study
Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.
Citation Text:
Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(…
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psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
April 07, 2021 - Study
Health care workers as second victims of medical errors.
Citation Text:
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108.
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psnet.ahrq.gov/issue/building-program-expanded-peer-support-entire-health-care-team-no-one-left-behind
May 26, 2021 - Study
Building a program of expanded peer support for the entire health care team: no one left behind.
Citation Text:
Klatt TE, Sachs JF, Huang C-C, et al. Building a program of expanded peer support for the entire health care team: no one left behind. Jt Comm J Qual Patient Saf. 2021;4…
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psnet.ahrq.gov/issue/nurse-managers-leadership-patient-safety-and-quality-care-systematic-review
September 09, 2020 - Review
Nurse managers' leadership, patient safety, and quality of care: a systematic review.
Citation Text:
Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079.…