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  1. Communication between primary and secondary care: deficits and danger. | PSNet

    psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
    September 23, 2020 - Study Communication between primary and secondary care: deficits and danger. Citation Text: Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. Copy Citation Format…

  2. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. | PSNet

    psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
    September 02, 2020 - Study Classic Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. Citation Text: Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekend…

  3. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. | PSNet

    psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
    October 14, 2020 - Study Emerging Classic Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. Citation Text: Rhee C, Baker M, Vaidya V, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical cent…

  4. National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. | PSNet

    psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
    February 22, 2023 - Study National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. Citation Text: Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The qua…

  5. Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. | PSNet

    psnet.ahrq.gov/issue/evaluation-automated-surveillance-system-using-trigger-alerts-prevent-adverse-drug-events
    August 30, 2017 - Study Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. Citation Text: DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts to prevent adverse…

  6. Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. | PSNet

    psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
    May 01, 2015 - Book/Report Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Citation Text: Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…

  7. Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. | PSNet

    psnet.ahrq.gov/issue/usability-computerised-drug-monitoring-programme-detect-adverse-drug-events-and-non
    December 21, 2014 - Study Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. Citation Text: Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-comp…

  8. The relationship between patients' perception of care and measures of hospital quality and safety. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
    February 13, 2019 - Study Classic The relationship between patients' perception of care and measures of hospital quality and safety. Citation Text: Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and …

  9. Families as partners in hospital error and adverse event surveillance. | PSNet

    psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
    December 19, 2018 - Study Classic Families as partners in hospital error and adverse event surveillance. Citation Text: Khan A, Coffey M, Litterer KP, et al. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatr. 2017;171(4):372-381. doi:10.1001/jamape…

  10. Vital signs: improving antibiotic use among hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
    February 27, 2019 - Study Classic Vital signs: improving antibiotic use among hospitalized patients. Citation Text: Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. Copy Citation…

  11. Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/implementation-electronic-care-plan-people-multiple-chronic-conditions
    January 01, 2023 - Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions Project Final Report ( PDF , 4.71 MB) 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…

  12. AHRQ Academy Newsletter (pdf file)

    integrationacademy.ahrq.gov/sites/default/files/2025-04/Integration%20Academy%20July%202024.pdf
    January 01, 2025 - AHRQ Academy Newsletter View this email in your browser SAVE THE DATE Wednesday, Sept. 11 3-4 pm ET Integrated Behavioral Health: The Journey to Becoming the Standard of Care A panel discussion with the National Integration Academy Council AHRQ Academy to Host Panel Discussion with National Integra…

  13. Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. | PSNet

    psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
    March 20, 2017 - Study Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. Citation Text: Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Pati…

  14. Engaging patients in medication reconciliation via a patient portal following hospital discharge. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
    February 03, 2011 - Study Engaging patients in medication reconciliation via a patient portal following hospital discharge. Citation Text: Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal following hospital discharge. J Am Med Inform Assoc. 2014;21(e…

  15. Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
    September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Citation Text: Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…

  16. Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. | PSNet

    psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
    May 12, 2021 - Study Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. Citation Text: Nassery N, Horberg MA, …

  17. Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. | PSNet

    psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
    September 11, 2019 - Study Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Citation Text: Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…

  18. Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. | PSNet

    psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
    November 11, 2020 - Study Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Citation Text: Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely …

  19. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. | PSNet

    psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
    February 03, 2011 - Review Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Citation Text: Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health record implementation in acute care: a …

  20. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. | PSNet

    psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot
    August 19, 2020 - Study Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. Citation Text: Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot stud…
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