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  1. Spoons systematically bias dosing of liquid medicine. | PSNet

    psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
    November 03, 2015 - Study Spoons systematically bias dosing of liquid medicine. Citation Text: Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024. Copy Citation Format: DOI Google Scho…

  2. Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
    October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…

  3. From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

    psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

  4. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. | PSNet

    psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
    February 08, 2012 - Study Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Citation Text: Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/…

  5. Section 7.B, Tables 13 and 14 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
    June 02, 2025 - Section 7.B, Tables 13 and 14 Indicator Indicator Does not live Lives in ID in MSA MSA (N=217) (n=625) Care Coordination Services Has care coordinator FECC-1 73.5 69.8 Access to care coordinator FECC-2 97.5 96.1 Care coordinator helped to obtain community services FECC-3 …

  6. Designing and Implementing Medicaid Disease and Care Management Programs | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/index.html
    October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs Next Page Table of Contents Designing and Implementing Medicaid Disease and Care Management Programs Introduction Section 1: Planning a Care Management Program Section 2: Engaging Stakeholders in a Care Management Program …

  7. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. | PSNet

    psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
    July 13, 2010 - Review Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Citation Text: Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology. 2002;97(6):1609-17…

  8. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C8: Fall Interventions Plan Sample Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Over…

  9. How often do physicians review medication charts on ward rounds? | PSNet

    psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

  10. Strategies to Better Manage Lipids – Statin Pearls

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
    November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls Strategies to Better Manage Lipids – Statin Pearls Alex Krist MD MPH Family Physician Virginia Commonwealth University Member, US Preventive Services Task Force ahkrist@vcu.edu ‹#› 5/24/2018 1 Disclaimer Although I am a member of the U.S. Preventive Services Tas…

  11. Decision support and patient safety: the time has come. | PSNet

    psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come
    December 04, 2024 - Review Decision support and patient safety: the time has come. Citation Text: Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  12. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
    March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

  13. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
    June 14, 2023 - Review The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Citation Text: Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…

  14. Antibiotic timing and errors in diagnosing pneumonia. | PSNet

    psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
    March 20, 2024 - Study Antibiotic timing and errors in diagnosing pneumonia. Citation Text: Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84. Copy Citation Format: DOI Google Scholar …

  15. The Team Climate Inventory: application in hospital teams and methodological considerations. | PSNet

    psnet.ahrq.gov/issue/team-climate-inventory-application-hospital-teams-and-methodological-considerations
    December 31, 2012 - Study The Team Climate Inventory: application in hospital teams and methodological considerations. Citation Text: Ouwens M, Hulscher M, Akkermans R, et al. The Team Climate Inventory: application in hospital teams and methodological considerations. Qual Saf Health Care. 2008;17(4):275-…

  16. The Public's Views on Medical Error in Massachusetts. | PSNet

    psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
    January 30, 2019 - Book/Report The Public's Views on Medical Error in Massachusetts. Citation Text: The Public's Views on Medical Error in Massachusetts. Boston, MA: Harvard School of Public Health; December 2014. Copy Citation Save Save to your library Print Download PDF …

  17. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  18. Electronic health records in ambulatory care- a national survey of physicians. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-ambulatory-care-national-survey-physicians
    February 17, 2011 - Study Electronic health records in ambulatory care- a national survey of physicians. Citation Text: DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care--a national survey of physicians. N Engl J Med. 2008;359(1):50-60. doi:10.1056/NEJMsa0802005. Cop…

  19. Current challenges in health information technology–related patient safety. | PSNet

    psnet.ahrq.gov/issue/current-challenges-health-information-technology-related-patient-safety
    July 16, 2015 - Commentary Current challenges in health information technology–related patient safety. Citation Text: Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. Cop…

  20. On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

    psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
    January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…
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