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  1. digital.ahrq.gov/sample-questions-answers-2
    January 01, 2023 - Sample Questions & Answers DISCLAIMER The studies referenced here were reported in peer-reviewed publications as systematic reviews, hypothesis tests, or predictive analyses. Although the results are valid for the institutions they represent, they may not be valid for other organizations …
  2. psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
    April 24, 2018 - Study Interprofessional education in team communication: working together to improve patient safety. Citation Text: Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…
  3. psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders
    November 17, 2010 - Study Complexity of medication-related verbal orders. Citation Text: Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922. Copy Citation Format: DOI Google Scholar PubMed BibTe…
  4. psnet.ahrq.gov/issue/systematic-review-effectiveness-compliance-and-critical-factors-implementation-safety
    December 04, 2024 - Review A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Citation Text: Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementatio…
  5. psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
    September 18, 2024 - Study Quality and patient safety improvement is never finished. Citation Text: Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst. 2024;5(9). doi:10.1056/cat.24.0316. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…
  6. psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting-improved-patient
    January 22, 2016 - Review Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Citation Text: Frey B, Schwappach DLB. Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? Curr Opin Crit…
  7. psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
    April 19, 2023 - Commentary Ward round template: enhancing patient safety on ward rounds. Citation Text: Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds. BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170. Copy Citation Format: …
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-stories.pdf
    July 01, 2020 - The Power of Patient Stories for Improving the Patient Experience webcast - Grob The Power of Patient Stories R AC H E L G RO B , M A , P h D D I R E C TO R O F N AT I O N A L I N I T I AT I V E S C L I N I C A L P RO F E S S O R S C I E N T I S T C A H P S We b c a s t 5 / 1 2 / 2 2 Let me tell you a sto…
  9. psnet.ahrq.gov/issue/patients-and-healthcare-workers-perceptions-patient-safety-advisory
    March 11, 2013 - Study Patients' and healthcare workers' perceptions of a patient safety advisory. Citation Text: Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…
  10. psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
    December 21, 2022 - Press Release/Announcement Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. Citation Text: Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
  11. psnet.ahrq.gov/issue/trade-offs-between-voice-and-silence-qualitative-exploration-oncology-staffs-decisions-speak
    November 05, 2014 - Study Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. Citation Text: Schwappach DLB, Gehring K. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about…
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use Learning From Antibiotic-Associated Adverse Events An antibiotic-associated adverse event is any event or situation that you would not want to happen again because it either caused your patient harm or had the potential to cause harm. The purpose of this tool is to provi…
  13. psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
    November 05, 2008 - Study Nursing home safety: does financial performance matter? Citation Text: Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  14. psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
    January 08, 2025 - Study Perioperative patient safety recommendations: systematic review of clinical practice guidelines. Citation Text: Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…
  15. www.ahrq.gov/diagnostic-safety/tools/index.html
    June 01, 2025 - Tools To Improve Diagnostic Safety AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…
  16. psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
    October 16, 2012 - Book/Report Classic Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…
  17. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dorr-d-et-al-2007
    January 01, 2007 - Dorr D et al. 2007 "Informatics systems to promote improved care for chronic illness: a literature review." Reference Dorr D, Bonner LM, Cohen AN, et al. Informatics systems to promote improved care for chronic illness: a literature review. J Am Med Inform Assoc 2007;14(2):156-163. [Link] Abst…
  18. psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
    July 27, 2022 - Study The use of a standard design medication room to promote medication safety: organizational implications. Citation Text: Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…
  19. psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
    October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis. Citation Text: Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…
  20. hcup-us.ahrq.gov/db/vars/aprdrg_severity/nrdnote.jsp
    August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…