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  1. psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
    May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…
  2. psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical
    March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
    March 01, 2022 - Addressing Questions Asked by Staff: Wound Cleaning Decolonization of Non-ICU Patients With Devices Section 14-5 – Addressing Questions Asked by Staff: Wound Cleaning There are some new nurses and nursing assistants on our unit. How can I ease any concerns related to wound cleaning? Some nurses and n…
  4. psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
    February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons to improve patient safety. Citation Text: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. Copy Citation …
  5. psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study
    March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. Citation Text: Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjope…
  6. www.ahrq.gov/ncepcr/reports/2025-annual-report/public-health.html
    August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Public Health and Community Integration Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Exc…
  7. psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
    August 28, 2013 - Review Emerging Classic Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. Citation Text: Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…
  8. psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and
    January 12, 2022 - Review Emerging Classic Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis Citation Text: Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: …
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-preventablereadm-primcare-es.pdf
    March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Executive Summary Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care Executive Summary Prepared for: Agency for Healthcare Research and Quality U.S. Department of H…
  10. www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Ke…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
    October 01, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action Improving Diagnosis in the Context of Rurality Previous Page Next Page Table of Contents Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action A Path to Rural Diagnostic Excellence Improving Diagnosis in the Context of R…
  12. psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-medication-errors-england
    July 22, 2020 - Commentary Initiatives to identify and mitigate medication errors in England. Citation Text: Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. Copy Citation Format…
  13. psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
    February 24, 2011 - Study Tying up loose ends: discharging patients with unresolved medical issues. Citation Text: Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. Copy Citation Format: Google Scholar …
  14. psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
    November 18, 2020 - Study Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. Citation Text: Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. …
  15. psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
    March 23, 2012 - Study STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Citation Text: O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…
  16. www.ahrq.gov/news/newsroom/case-studies/cquips0802.html
    October 01, 2014 - AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments Search All Impact Case Studies June 2008 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors in hospital emergency departments has been put to use in hospitals in a …
  17. digital.ahrq.gov/ahrq-funded-projects/rural-community-partnerships-electronic-medical-record-emr-implementation
    January 01, 2023 - Rural Community Partnerships - Electronic Medical Record (EMR) Implementation Project Project Final Report ( PDF , 165.13 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 necessar…
  18. psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
    December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…
  19. psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation-2003-acgme
    June 20, 2012 - Review Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. Citation Text: Fletcher KE, Reed DA, Arora V. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rule…
  20. psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846
    March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…