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  1. psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
    January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…
  2. psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
    January 23, 2017 - Commentary What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. Citation Text: Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88. Copy Citati…
  3. psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
    August 24, 2015 - Study Resident attitudes regarding the impact of the 80–duty-hours work standards. Citation Text: Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…
  4. psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
    October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
    April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices Mercy Hospital Fore River Campus Portland, Maine 23 Breast Care Specialists of Maine A two-surgeon practice, we take pride in offering timely, accurate consultation and treatment for benign and malignant …
  6. psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration
    February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…
  7. psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
    April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…
  8. psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
    March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What is Patient Safety Culture? Organization 13 What are the SOPS Surveys? • Surveys of providers and st…
  10. psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
    November 16, 2022 - Study Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Citation Text: Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…
  11. psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
    February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …
  12. psnet.ahrq.gov/issue/secure-messaging-use-and-wrong-patient-ordering-errors-among-inpatient-clinicians
    July 20, 2022 - Study Secure messaging use and wrong-patient ordering errors among inpatient clinicians. Citation Text: Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47…
  13. psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
    April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
  14. psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
    July 20, 2022 - Study How patients can improve the accuracy of their medical records. Citation Text: Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
  15. psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
    February 07, 2024 - Study Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. Citation Text: Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:…
  16. psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
    March 06, 2019 - Commentary Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. Citation Text: Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…
  17. hcup-us.ahrq.gov/tools_software.jsp
    July 01, 2025 - Software Tools HCUP software tools can be applied to HCUP and other administrative databases to systematically create new data elements from existing data, thereby enhancing a researcher's ability to conduct analyses.   Tools for ICD-10-CM/PCS Designed for use with International Classification of Disea…
  18. psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital
    August 19, 2020 - Study Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Citation Text: Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. …
  19. www.ahrq.gov/cpi/about/otherwebsites/cds-connect/index.html
    June 01, 2019 - CDS Connect: Using Clinical Decision Support To Move Evidence Into Practice Project Summary CDS Connect is a key component of AHRQ’s recently launched initiative on clinical decision support (CDS) to move evidence into practice and to make CDS more patient centered. This initiative has four components:   …
  20. hcup-us.ahrq.gov/news/exhibit_booth/NASSBrochure_031220.pdf
    March 18, 2020 - PowerPoint Presentation What is the NASS? The Nationwide Ambulatory Surgery Sample (NASS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NASS produces national estimates of major ambulatory surgery encounters performed in hospital-owned faci…