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  1. digital.ahrq.gov/organization/abt-associates-inc
    January 01, 2023 - Abt Associates, Inc. Improving Electronic Health Records Patient Education Materials - 2012 Principal Investigator Shoemaker, Sarah Project Name Improving Electronic Health Records Patient Education Materials Evaluation of AHRQ’s On-Time P…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist4-cleaning-disinfect.pdf
    June 02, 2025 - Cleaning and Disinfection of the Dialysis Station Procedural Checklist 4 Cleaning and Disinfection of the Dialysis Station Procedural Checklist #4 ☐ Don gown, gloves, and impermeable mask/eye protec…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42091/psn-pdf
    December 31, 2014 - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. December 31, 2014 Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Info Asso. 2013;20(3):470-476. doi:…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46747/psn-pdf
    June 06, 2018 - Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. June 6, 2018 Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patien…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44039/psn-pdf
    December 23, 2016 - Safe use of health information technology. December 23, 2016 Sentinel Event Alert. March 31, 2015;(54):1-6. https://psnet.ahrq.gov/issue/safe-use-health-information-technology The introduction of information technology (IT) has transformed health care, but it is clear that the rapid uptake of IT has profoundly cha…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - US emergency department visits for outpatient adverse drug events, 2013–2014. December 20, 2017 Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:10.1001/jama.2016.16201. https://psnet.ahrq.gov/issue/us-emergenc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43049/psn-pdf
    October 31, 2014 - Vital signs: improving antibiotic use among hospitalized patients. October 31, 2014 Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospital…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47742/psn-pdf
    February 20, 2019 - AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. February 20, 2019 Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2019. AHRQ Publication No. 19-0027-EF. https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47946/psn-pdf
    May 22, 2019 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013- 2017. May 22, 2019 Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011- 2015, and Strategies for Prevention, 13 States, 2013-2017. MMWR Morb Mortal Wkly R…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46313/psn-pdf
    December 21, 2017 - Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review. December 21, 2017 Frank JW, Lovejoy TI, Becker WC, et al. Patient Outcomes in Dose Reduction or Discontinuation of Long- Term Opioid Therapy: A Systematic Review. Ann Intern Med. 2017;167(3):181-191. doi:10.7326/…
  12. www.ahrq.gov/talkingquality/measures/setting/health-plan/examples.html
    December 01, 2022 - Examples of Health Plan Quality Measures for Consumers Health plan quality measures typically reported to consumers are a combination of clinical quality (doing the right thing, at the right time, to the right patient) and the health plan member’ experiences with care. Here are some examples of health plan qual…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38961/psn-pdf
    September 01, 2016 - An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care. September 1, 2016 Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication safety alerts on patient safety,…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43323/psn-pdf
    January 07, 2015 - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. January 7, 2015 Nanji KC, Rothschild JM, Boehne JJ, et al. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. J Am Med Inf…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40289/psn-pdf
    March 16, 2011 - Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. March 16, 2011 Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40073/psn-pdf
    July 01, 2011 - Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. December 8, 2010 Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.1056/NEJMp1011413. https://psnet.ahr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41964/psn-pdf
    April 17, 2013 - Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. April 17, 2013 Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003. https://psnet.ahrq.gov/issue/u…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42883/psn-pdf
    September 01, 2016 - Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. September 1, 2016 Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40946/psn-pdf
    January 19, 2012 - Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 19, 2012 Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad f…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47752/psn-pdf
    May 29, 2019 - How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. May 29, 2019 Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Int …