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  1. psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
    March 18, 2020 - Study Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Citation Text: van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …
  2. psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
    June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…
  3. psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi
    June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…
  4. psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
    June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
  5. psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower
    August 20, 2018 - Study RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals. Citation Text: Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of ex…
  6. psnet.ahrq.gov/issue/physician-and-nurse-well-being-and-preferred-interventions-address-burnout-hospital-practice
    February 09, 2011 - Study Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. Citation Text: Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to a…
  7. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave3.html
    July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Understanding AI’s Potential: Healthcare Applications of Deep Learning Previous Page Next Page Table of Contents Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond Introduction …
  8. 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…
  9. psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
    October 20, 2021 - Study Classic Emergency hospitalizations for adverse drug events in older Americans. Citation Text: Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10…
  10. psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
    January 27, 2016 - Study Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Citation Text: Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…
  11. psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
    September 08, 2021 - Study Differences in medication reconciliation interventions between six hospitals: a mixed method study. Citation Text: Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…
  12. psnet.ahrq.gov/issue/electronic-medication-reconciliation-tools-aimed-healthcare-professionals-support-medication
    December 02, 2020 - Review Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review. Citation Text: Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare pro…
  13. psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
    September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…
  14. psnet.ahrq.gov/issue/nurse-staffing-burnout-and-health-care-associated-infection
    June 02, 2021 - Study Nurse staffing, burnout, and health care-associated infection. Citation Text: Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029. Copy Citation Forma…
  15. psnet.ahrq.gov/issue/nurse-staffing-and-education-and-hospital-mortality-nine-european-countries-retrospective
    January 04, 2015 - Study Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Citation Text: Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational …
  16. psnet.ahrq.gov/issue/nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient
    December 12, 2014 - Study Classic Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. Citation Text: Aiken LH, Sloane DM, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional…
  17. digital.ahrq.gov/ahrq-funded-projects/promoting-self-management-stroke-survivors-using-health-it
    January 01, 2023 - Promoting Self-Management in Stroke Survivors Using Health Information Technology Project Final Report ( PDF , 180.67 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 …
  18. psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
    January 12, 2022 - Commentary 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. Citation Text: Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
  19. psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
    May 26, 2021 - Study Classic The $17.1 billion problem: the annual cost of measurable medical errors. Citation Text: Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
  20. www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
    October 01, 2014 - This COE is focusing on development of a measure of child inpatient experiences of care, hospital readmission