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  1. psnet.ahrq.gov/issue/irish-national-adverse-events-study-inaes-frequency-and-nature-adverse-events-irish-hospitals
    March 03, 2021 - Study The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. Citation Text: Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adve…
  2. psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
    January 26, 2022 - Study Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. Citation Text: Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
  3. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
    January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…
  4. psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
    December 01, 2021 - Study Effect of barcode technology on medication preparation safety: a quasi-experimental study. Citation Text: Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…
  5. psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
    October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…
  6. psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework
    July 20, 2022 - Study Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Citation Text: Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4…
  7. hcup-us.ahrq.gov/db/vars/ncpt_inscope/nassnote.jsp
    August 01, 2019 - Healthcare Cost and Utilization Project (HCUP) NASS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQ…
  8. digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
    January 01, 2012 - Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2012 Project Name Supporting Continuity of Care for Poisonings With Electronic Information Exchange Principal Investigator Cummins, Mollie Rebecca Organization University of Utah Fundi…
  9. psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
    April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
  10. psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
    February 02, 2022 - Review Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. Citation Text: Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…
  11. digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
    January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010 Project Name Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Principal Investigator Thomas, Eric Organization University of Texas Health Science Center - Houst…
  12. digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
    January 01, 2011 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011 Project Name Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System Principal Investigator Levick, Donald Organization Lehigh Valley Hospital Funding Mechanism PAR: HS08-270:…
  13. psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
    December 15, 2010 - Study Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Citation Text: Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Proble…
  14. www.ahrq.gov/research/publications/search.html?page=12
    February 01, 2015 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 121 - 130 of 192 Publications displayed Find Publications by Keyword or To…
  15. digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
    September 30, 2009 - DATAFORM 3 Medication Error and Near Miss Classification Form WBD DATAFORM 3 Medication Error and Near Miss Classification Form 1. Study ID Number: ____ ____-____ ____ ____ ____ ____ 2. Reviewer ID Number: ____ ____ See below for codes 3. Case # 4. Script # 5. ME o…
  16. psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
    May 08, 2017 - Study Effect of patient- and medication-related factors on inpatient medication reconciliation errors. Citation Text: Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…
  17. psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
    April 24, 2018 - Study Drug shortage-associated increase in catheter-related blood stream infection in children. Citation Text: Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/…
  18. psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
    April 27, 2019 - Study A perinatal care quality and safety initiative: are there financial rewards for improved quality? Citation Text: Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …
  19. digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-planning-project
    January 01, 2023 - The Chronic Care Technology Planning Project Project Final Report ( PDF , 217.74 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No state…
  20. psnet.ahrq.gov/issue/use-medical-emergency-team-responses-reduce-hospital-cardiopulmonary-arrests
    April 06, 2011 - Study Classic Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Citation Text: Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health …