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  1. digital.ahrq.gov/ahrq-funded-projects/quality-oral-health-care-through-health-information-technology
    January 01, 2023 - Quality Oral Health Care through Health Information Technology Project Final Report ( PDF , 437.36 KB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - …
  2. psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
    October 31, 2014 - Commentary Classic Problem doctors: is there a system-level solution? Citation Text: Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. Copy Citation Format: Google Scholar PubMed BibTeX End…
  3. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-clinical-topics.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Index of Clinical Topics Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Surveillance …
  4. psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
    July 05, 2016 - Book/Report Classic Keeping Patients Safe: Transforming the Work Environment of Nurses. Citation Text: Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Healt…
  5. www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
    July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…
  6. psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
    October 04, 2006 - Book/Report Classic Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Citation Text: Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Ba…
  7. psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
    October 19, 2022 - Organizational Policy/Guidelines Crowding in the Emergency Department: Challenges for the Care of Children. Citation Text: Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…
  8. psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
    October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…
  9. psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - Study Delayed or missed diagnosis of cervical spine injuries. Citation Text: Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …
  10. psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
    February 04, 2018 - Study Guided prescription of psychotropic medications for geriatric inpatients. Citation Text: Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. Copy Citation Format: Goog…
  11. psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
    May 18, 2022 - Commentary Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. Citation Text: Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003. Copy Cit…
  12. www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapa.html
    December 01, 2012 - Appendix A: Members of the 2012 AHRQ Subcommittee to the National Advisory Council on Children's Health Quality Measures (SNAC) Recommendations to Improve Children's Health Care Quality Measures This background report describes the process used to identify, evaluate, and select children's health care quality …
  13. psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
    July 14, 2010 - Commentary Ensuring staff safety when treating potentially violent patients. Citation Text: Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. Copy Citation Format: DOI G…
  14. hcup-us.ahrq.gov/reports/factsandfigures/2008/citation.jsp
    January 01, 2008 - HCUP Facts and Figures 2008: Statistics on Hospital-Based Care in the United States An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact …
  15. digital.ahrq.gov/organization/oregon-health-and-science-university
    January 01, 2023 - Oregon Health and Science University Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) Description This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High …
  16. www.ahrq.gov/news/newsroom/case-studies/202502.html
    February 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS® Search All Impact Case Studies February 2025 Kaiser Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s  Surveys on Patient Safety Culture (SOPS®) to improve ambulatory care and expand d…
  17. digital.ahrq.gov/location/usa-or-portland
    January 01, 2023 - USA, OR, Portland Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) Description This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COA…
  18. psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
    April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …
  19. psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
    October 05, 2022 - Study Medication errors in a neonatal intensive care unit. Citation Text: Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757. Copy Citation Format: DOI Google S…
  20. digital.ahrq.gov/2019-year-review/research-summary/smart-mobile-health-app-improves-screening-for-risks-and-protective-factors
    January 01, 2019 - Smart Mobile Health App Improves Screening for Risks and Protective Factors for Pregnant Women A screening tool for risk and protective factors during pregnancy can be integrated in clinic flow and improve customized discussions with pregnant women to improve outcomes for pregnant women and their babies. …