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  1. psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…
  2. Dischargeprep (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.docx
    April 07, 2025 - RED Discharge Preparation Workbook Patient Name _________________________ MRN ________________ DOB ______________ Room # ______________ Date of admission ______________ Language preference Interpreter/Translation Needed (Y/N) Spoken communication Written materials Phone communication Fil…
  3. psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…
  4. psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
    November 18, 2020 - Review Nurse workarounds in the electronic health record: an integrative review. Citation Text: Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. Copy Cita…
  5. psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
    March 30, 2022 - Study How can never event data be used to reflect or improve hospital safety performance? Citation Text: Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…
  6. psnet.ahrq.gov/issue/nurse-staffing-burnout-and-health-care-associated-infection
    June 02, 2021 - Study Nurse staffing, burnout, and health care-associated infection. Citation Text: Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029. Copy Citation Forma…
  7. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 3.82 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  8. psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
    September 27, 2017 - Study Emerging Classic Association of nurse workload with missed nursing care in the neonatal intensive care unit. Citation Text: Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Uni…
  9. psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality
    August 20, 2018 - Study Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety. Citation Text: Griffiths P, Dall'Ora C, Simon M, et al. Nurses' shift length and overtime working in 12 European countries: the association with pe…
  10. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
    January 01, 2009 - How Do I Evaluate Workflow? What is Workflow? Defining workflow Definitions of workflow vary. Here are a couple: The flow of work through space and time, where work is comprised of three components: inputs are transformed into outputs.[1] The activities, tools, and processes needed to produce or modify work, pr…
  11. digital.ahrq.gov/time-and-motion-studies-database
    January 01, 2023 - Time and Motion Studies Database The application of computing to health care changes how, when, and where clinicians collect and retrieve patient information. Measuring the impacts of technology on clinical tasks often involves performing a time and motion study. In a time and…
  12. www.ahrq.gov/tools/index.html
    December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …
  13. digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
    January 01, 2022 - Research Spotlight The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding? Our Nation’s strategy for better healthcare hinges on putting digital technologies to work. Today’s powerful tools make it easier to capture and share patient information, coordinate care, a…
  14. digital.ahrq.gov/program-overview/research-stories/integrating-patient-voice-patient-reported-health-outcomes
    January 01, 2023 - Integrating the Patient Voice in Patient-Reported Health Outcomes Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Patient-Reported Outcomes to Improve Care Delivery Changing the focus of patient-reported outcomes to be centered on a patient’s individual goals and preferences…
  15. psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
    February 17, 2021 - Study Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Citation Text: Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …
  16. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/delpierre-c-et-al-2004
    January 01, 2004 - Delpierre C et al. 2004 "A systematic review of computer-based patient record systems and quality of care: more randomized clinical trials or a broader approach?" Reference Delpierre C, Cuzin L, Fillaux J, et al. A systematic review of computer-based patient record systems and quality of care: more ra…
  17. psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
    December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…
  18. psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
    January 19, 2012 - Study Types and origins of diagnostic errors in primary care settings. Citation Text: Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777. Copy Citation …
  19. psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
    April 09, 2013 - Study Electronic health record-based surveillance of diagnostic errors in primary care. Citation Text: Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…
  20. psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
    December 21, 2022 - Review A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? Citation Text: Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing…