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digital.ahrq.gov/type-care/primary-care
January 01, 2023 - Primary Care
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research aims to improve the early detection of venous thromboembolism in primary and urgent care by using …
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www.ahrq.gov/news/newsroom/press-releases/sepsis-report-to-congress.html
September 01, 2024 - AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care
Report finds the emergence of COVID-19 significantly changed the epidemiology of sepsis
Press Release Date: September 16, 2024
The number of sepsis-related inpatient stays at non-federal acute care hospitals in the United States increased …
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digital.ahrq.gov/care-setting/emergency-department
January 01, 2023 - Emergency Department
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mob…
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety
SEP
16
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Craig A. Umscheid, M.D., M.S.
Robert Otto Valdez, Ph.D., M.H.S.
As the healthcar…
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Study
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Citation Text:
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
January 01, 2023 - Patient Experience Research Meeting - Agenda
Patient Experience, Patient Safety, and Provider Well-Being:
Associations and Paths for Quality Improvement
A Virtual Research Meeting
Sponsored by the U.S. Agency for Healthcare Research and Quality (AHRQ)
October 19, 2023
11:00 a.m. – 4:00 p.m. ET
MEETING PU…
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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - Review
Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis.
Citation Text:
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
August 11, 2021 - Review
Classic
Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review.
Citation Text:
Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…
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www.ahrq.gov/news/blog/ahrqviews/portrait-of-sepsis.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Portrait of Sepsis Reveals Its Alarming Human Toll
SEP
27
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Pamela Owens, Ph.D.
The human suffering caused by sepsis is shocking. New AHRQ analyses show that in 2021, more than 2 m…
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digital.ahrq.gov/document-type/editorial
January 01, 2024 - Editorial
Engineering safe care journeys: Reenvisioning interhospital transfers.
Citation
Yu A, Chopra V, Mueller SK, Wray CM, Jones CD. Engineering safe care journeys: Reenvisioning interhospital transfers. J Hosp Med. 2024 Jul;19(7):629-634. doi: 10.1002/jhm.13266. Epub 2024…
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www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
February 01, 2018 - National Academy of Medicine (NAM) Reports
AHRQ has long collaborated with the National Academy of Medicine (formerly Institute of Medicine) to develop comprehensive reports on topics that are critical to making the American health care system safer and higher quality. These reports represent the consensus reco…
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
January 01, 2011 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011
Project Name
Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors
Principal Investigator
Basco, William
Organization
Medical University of South Carolina
Funding Mechanism…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
September 01, 2022 - Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions
Guide for Clinical Leaders
Calibrate Dx: A Resource To Improve Diagnostic Decisions
To achieve diagnostic excellence, clinicians need feedback on their diagnostic performance. Calibrate Dx
is a resource to help clinicians find and…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
February 10, 2011 - Study
Classic
Incidence of adverse drug events and potential adverse drug events: implications for prevention.
Citation Text:
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …
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psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
May 25, 2022 - Study
Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.
Citation Text:
Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medicatio…
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psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial
March 02, 2011 - Study
Classic
Bar-coding surgical sponges to improve safety: a randomized controlled trial.
Citation Text:
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…
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psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
February 07, 2024 - Study
Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.
Citation Text:
Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…
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psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality
October 03, 2018 - Study
Classic
Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study.
Citation Text:
Larochelle MR, Bernson D, Land T, et al. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Associat…
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psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
August 26, 2020 - Study
Classic
Association of interruptions with an increased risk and severity of medication administration errors.
Citation Text:
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - Review
Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.
Citation Text:
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…