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  1. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. | PSNet

    psnet.ahrq.gov/issue/urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes
    November 02, 2022 - Study Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Citation Text: Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin ca…

  2. Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. | PSNet

    psnet.ahrq.gov/issue/diagnosis-team-sport-partnering-allied-health-professionals-reduce-diagnostic-errors-case
    July 28, 2023 - Study Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness. Citation Text: Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health profes…

  3. Primary care collaboration to improve diagnosis and screening for colorectal cancer. | PSNet

    psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
    July 13, 2022 - Study Classic Primary care collaboration to improve diagnosis and screening for colorectal cancer. Citation Text: Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…

  4. Centers for Education and Research on Therapeutics (CERTs) Program (U18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/centers-education-and-research-therapeutics-certs-program-u18
    January 01, 2023 - Centers for Education and Research on Therapeutics (CERTs) Program (U18) The effects of electronic prescribing by community-based providers on ambulatory medication safety. Citation Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based…

  5. Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies. | PSNet

    psnet.ahrq.gov/issue/redeployment-health-care-workers-covid-19-pandemic-qualitative-study-health-system-leaders
    March 17, 2021 - Study Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies. Citation Text: Panda N, Sinyard RD, Henrich N, et al. Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' …

  6. Index of Clinical Topics | Agency for Healthcare Research and Quality

    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 The Evidence for MRSA Decolonization Nasal Decolonization …

  7. Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
    July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

  8. Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/hotline.html
    May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Preface Summary I. Introductio…

  9. AHRQ CDSiC Project Summary (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-10/FINAL%20CDSiC%20Project%20Summary%20PDF_508c.pdf
    January 01, 2024 - AHRQ CDSiC Project Summary Making clinical decision support more valuable and meaningful to patients, clinicians, and healthcare systems The Clinical Decision Support Innovation Collaborative Project Overview and Goals The Clinical Decision Support Innovation Collaborative (CDSiC) is part of AHRQ’s Patient- Cen…

  10. Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. | PSNet

    psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
    February 10, 2012 - Organizational Policy/Guidelines Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. Citation Text: Nak…

  11. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet

    psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
    September 27, 2016 - Study The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. Citation Text: Vrklevski LP, McKechnie L, OʼConnor N. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root …

  12. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
    December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

  13. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
    December 23, 2020 - Review The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. Citation Text: Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic r…

  14. Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. | PSNet

    psnet.ahrq.gov/issue/controversies-surrounding-use-order-sets-clinical-decision-support-computerized-provider
    May 27, 2011 - Commentary Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. Citation Text: Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order ent…

  15. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
    February 01, 2023 - Study Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. Citation Text: Van der Voorden M, Franx A, Ahaus K. Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study. BMC Health S…

  16. The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety
    April 23, 2014 - Study The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. Citation Text: van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the implementation of organizational…

  17. Good Practice Guides on Medication Errors: Part 1 and Part 2. | PSNet

    psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
    August 03, 2016 - Book/Report Good Practice Guides on Medication Errors: Part 1 and Part 2. Citation Text: Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…

  18. Methodological variations and their effects on reported medication administration error rates. | PSNet

    psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
    January 15, 2025 - Review Methodological variations and their effects on reported medication administration error rates. Citation Text: McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…

  19. Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
    November 03, 2015 - Study Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. Citation Text: Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):…

  20. CDC guideline for prescribing opioids for chronic pain—United States, 2016. | PSNet

    psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
    June 14, 2019 - Organizational Policy/Guidelines CDC guideline for prescribing opioids for chronic pain—United States, 2016. Citation Text: Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49. doi:10.15585/mmwr.rr…
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