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  1. www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
    July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview Advancing Excellence in Health Care • www.ahrq.gov Agency for Healthcare Research and Quality PATIENT SAFETY Designing Consumer Reporting Systems for Patient Safety Events Background It’s been nearly a decade since the Institute of M…
  2. psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
    October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…
  3. psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
    March 24, 2010 - Study Limited health literacy is a barrier to medication reconciliation in ambulatory care. Citation Text: Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. Copy Citatio…
  4. digital.ahrq.gov/principal-investigator/krist-alexander-h
    January 01, 2023 - Krist, Alexander H. Engaging primary care patients to use a patient-centered personal health record. Citation Krist AH, Woolf SH, Bello GA, et al. Engaging primary care patients to use a patient-centered personal health record. Ann Fam Med 2014;12(5):418-26. PMID: 25354405. …
  5. psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
    January 12, 2022 - Commentary The Lancet Commission on lessons for the future from the COVID-19 pandemic. Citation Text: Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. C…
  6. psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
    October 16, 2012 - Book/Report Classic Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…
  7. psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
    January 16, 2019 - Commentary Emerging Classic A decade of health information technology usability challenges and the path forward. Citation Text: Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…
  8. psnet.ahrq.gov/issue/current-challenges-health-information-technology-related-patient-safety
    July 16, 2015 - Commentary Current challenges in health information technology–related patient safety. Citation Text: Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. Cop…
  9. psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
    March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
  10. www.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
    December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
  11. psnet.ahrq.gov/issue/what-computer-needs-physician-humanism-and-artificial-intelligence
    June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…
  12. digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides
    January 01, 2023 - Guidelines Into Decision Support (GLIDES) Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-08-10011 Funding Mechanism(s) Clinical Decision Support Services Project…
  13. psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
    June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…
  14. psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
    March 28, 2011 - Commentary A theoretical framework and competency-based approach to improving handoffs. Citation Text: Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
  15. www.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
    February 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records FEB 15 2022 By Chun-Ju (Janey) Hsiao, Ph.D., and Chris Dymek, Ed.D. Janey Hsiao, Ph.D. The 63-yea…
  16. psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…
  17. psnet.ahrq.gov/issue/mandatory-influenza-vaccination-health-care-workers-new-standard-care-matter-patient-safety
    September 13, 2023 - Commentary Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. Citation Text: Cortes-Penfield N. Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patien…
  18. psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
    August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/handoff-practices-emergency-medicine-are-we-making-progress
    September 23, 2020 - Study Handoff practices in emergency medicine: are we making progress? Citation Text: Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867. Copy Citation Format: DOI…
  20. psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
    October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …