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  1. psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
    October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
    June 02, 2025 - Introduction to the Pediatric Best Practices Tool Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.4 Introduction to the Pediatric Best Practices Tool What is the purpose of this tool? The purpose of this tool is to provide: • Detailed description of…
  3. psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
    June 25, 2014 - Study Classic Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. Citation Text: Network WG for the CHECKLIST-ICUI and the BR in IC, Cavalcanti AB, Bozza FA, et …
  4. psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
    November 21, 2021 - Study Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Citation Text: Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
  5. psnet.ahrq.gov/issue/deferral-care-serious-non-covid-19-conditions-hidden-harm-covid-19
    June 22, 2022 - Commentary Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. Citation Text: DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.401…
  6. psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
    November 16, 2022 - Study Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. Citation Text: Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…
  7. psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
    March 18, 2013 - Study Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. Citation Text: Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …
  8. www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Data Collection Strategy, Assessment, and Process Evaluation Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliati…
  9. www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 1. Introduction Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA De…
  10. psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
    April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
  11. digital.ahrq.gov/ahrq-funded-projects/user-centered-designed-anticoagulation-shared-decision-making-tool-stroke
    January 01, 2023 - A User-Centered Designed Anticoagulation Shared Decision Making Tool for Stroke Prevention in Atrial Fibrillation Project Final Report ( PDF , 348.7 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its co…
  12. psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
    June 03, 2020 - Study Classic An alternative strategy for studying adverse events in medical care. Citation Text: Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13. Copy Citation Fo…
  13. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/buchanan-bg-et-al-1995
    January 01, 1995 - Buchanan BG et al. 1995 "An intelligent interactive system for delivering individualized information to patients." Reference Buchanan BG, Moore JD, Forsythe DE, et al. An intelligent interactive system for delivering individualized information to patients. Artif Intell Med 1995;7(2):117-154. Abs…
  14. psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
    April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
  15. integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
    January 01, 2021 - Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants Enhancing the Access and Quality of MAT for Individuals with Opioid Use Disorder (OUD) in Rural Pennsylvania’s …
  16. www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-final-rec-bullletin.pdf
    November 07, 2023 - U.S. Preventive Services Task Force Issues Final Recommendations on Screening and Preventive Interventions for Oral Health www.uspreventiveservicestaskforce.org 1 U.S. Preventive Services Task Force Issues Final Recommendations on Screening and Preventive Interventions for Oral Health More research is nee…
  17. www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-draft-rec-bulletin.pdf
    June 20, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendations on Oral Health in Primary Care: More research is needed to recommend for or against screening and interventions in school-aged children and adults without symptoms 1 www.uspreventiveservicestaskforce.org U.S. Preventive Services Task Force Iss…
  18. digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
    January 01, 2023 - Automated Retract-and-Reorder Measures to Improve Medication Safety Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Using Digital Healthcare Tools to Improve Patient Safety New measures to identify near-miss medication errors are a major advancement in patient safety …
  19. psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
    August 10, 2022 - Study The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. Citation Text: Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up …
  20. psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
    June 16, 2010 - Review Narrative review: do state laws make it easier to say "I'm sorry"? Citation Text: McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. Copy Citation Format: Google Scholar PubMed BibTeX En…