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  1. psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
    August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
  2. digital.ahrq.gov/ahrq-funded-projects/learning-primary-care-ehr-exemplars-about-health-it-safety
    January 01, 2023 - Learning From Primary Care EHR Exemplars About Health IT Safety Project Final Report ( PDF , 730.25 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 view…
  3. psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
    November 10, 2021 - Study Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Citation Text: Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…
  4. psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
    April 05, 2023 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. Citation Text: Black GB, Nicholson BD, Moreland J-A, et al. Doing …
  5. psnet.ahrq.gov/issue/changes-primary-care-delivery-during-covid-19-pandemic-and-perceived-impact-medication-safety
    January 18, 2023 - Study Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. Citation Text: Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a…
  6. psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
    August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…
  7. psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
    November 20, 2015 - Study Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. Citation Text: Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…
  8. psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
    January 29, 2014 - Study "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. Citation Text: Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2…
  9. www.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
    January 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Evidence Reviews: Catalysts for Practice Change JAN 19 2022 By Lionel Bañez, M.D., and David Meyers, M.D. Lionel Bañez, M.D. Medical research keeps advancing while clinicians are busy taking care of patients. It is a const…
  10. psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
    December 16, 2020 - Study Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions. Citation Text: Patel D, Liu G, Roberts SCM, et al. Association of provider specialty with abortion-related morbidity and adverse events am…
  11. psnet.ahrq.gov/issue/information-technology-interventions-improve-medication-safety-primary-care-systematic-review
    July 29, 2020 - Review Information technology interventions to improve medication safety in primary care: a systematic review. Citation Text: Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 20…
  12. psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
    February 26, 2020 - Study What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. Citation Text: Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…
  13. psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation
    September 27, 2023 - Study Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Citation Text: Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;…
  14. psnet.ahrq.gov/issue/clinical-benefits-electronic-health-record-use-national-findings
    November 16, 2022 - Study Clinical benefits of electronic health record use: national findings. Citation Text: King J, Patel V, Jamoom EW, et al. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(1 Pt 2):392-404. doi:10.1111/1475-6773.12135. Copy Citation F…
  15. psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
    July 17, 2024 - Study unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for pa…
  16. psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
    May 07, 2014 - Study Hospital leadership and quality improvement: rhetoric versus reality. Citation Text: Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. Copy Citation Format: DOI Google Scholar…
  17. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …
  18. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/front-matter.html
    February 01, 2022 - Primary Care Practice Facilitation Curriculum Preface Previous Page Next Page Table of Contents Primary Care Practice Facilitation Curriculum Preface Introduction Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies Part 2: Introduction to Practice Facilitation Part 3:…
  19. digital.ahrq.gov/principal-investigator/gurwitz-jerry
    January 01, 2023 - Gurwitz, Jerry Factors associated with ordering laboratory monitoring of high-risk medications. Citation Fischer SH, Tjia J, Reed G, et al. Factors associated with ordering laboratory monitoring of high-risk medications. J Gen Intern Med 2014 Dec;29(12):1589-98. PMID: 24965280…
  20. psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
    February 09, 2011 - Study Classic A surgical safety checklist to reduce morbidity and mortality in a global population. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…