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8001. Innovation Core 1: Measurement and Value of Clinical Decision Support | CDSiC
      cdsic.ahrq.gov/cdsic/innovation-center/measurement-value
      May 22, 2025 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

8002. Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
      December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care DEC 15 2022 By Members of AHRQ’s National Advisory Council: Catherine H. Ivory, Ph.D., R.N.; Komal Bajaj, M.D.; MS-HPEd, Jiajie Zhang, Ph.D.; and Kannan Ramar, …

8003. CDSiC Stakeholder Center Quarterly Report, July to September 2023 | CDSiC
      cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-July-Sept-2023
      October 01, 2023 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

8004. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
      November 15, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Car…

8005. Prologue: The Shift toward Performance and Tools (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Prologue_Keyes_Vol3.pdf
      June 02, 2025 - Prologue: The Shift toward Performance and Tools Prologue The Shift toward Performance and Tools Margaret A. Keyes, M.A. The articles in this volume provide a number of perspectives on performance and tools used to improve the safe delivery of health care. They include a wide variety of approaches that …

8006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33653/psn-pdf
      June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007 Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/response-failure-report-march-2007 In response to "Failure to Report" (March 2007) Letter To the editors: Dr. Sp…

8007. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
      October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

8008. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet
      psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
      October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

8009. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta
      April 06, 2022 - Study Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. Citation Text: Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…

8010. Medication event huddles: a tool for reducing adverse drug events. | PSNet
      psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
      December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

8011. Medical errors during training: how do residents cope?: a descriptive study. | PSNet
      psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
      October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

8012. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet
      psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
      December 18, 2019 - Study Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. Citation Text: Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…

8013. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet
      psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
      November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

8014. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet
      psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
      September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

8015. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. | PSNet
      psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
      August 21, 2015 - Study Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. Citation Text: Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testi…

8016. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. | PSNet
      psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
      July 12, 2023 - Study Changes in hospital adverse events and patient outcomes associated with private equity acquisition. Citation Text: Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.10…

8017. Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. | PSNet
      psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary
      April 12, 2019 - Study Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. Citation Text: Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with…

8018. Promising practices for improving hospital patient safety culture. | PSNet
      psnet.ahrq.gov/issue/promising-practices-improving-hospital-patient-safety-culture
      December 09, 2020 - Study Classic Promising practices for improving hospital patient safety culture. Citation Text: Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.00…

8019. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. | PSNet
      psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
      October 27, 2021 - Study Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. Citation Text: Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…

8020. Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. | PSNet
      psnet.ahrq.gov/issue/differential-safety-between-top-ranked-cancer-hospitals-and-their-affiliates-complex-cancer
      July 24, 2019 - Study Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. Citation Text: Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 20…