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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.
Citation Text:
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…
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psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
February 10, 2012 - Study
Patients' perspectives of diagnostic error: a qualitative study.
Citation Text:
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
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psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours
November 17, 2021 - Study
Older patients' engagement in hospital medication safety behaviours.
Citation Text:
Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3.
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psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and
January 23, 2019 - Review
A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies?
Citation Text:
Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about team…
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - Study
Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.
Citation Text:
Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…
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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - Review
Emerging Classic
The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.
C…
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology
September 13, 2023 - Study
Enhancing patient safety and risk management through clinical pathways in oncology.
Citation Text:
Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…
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digital.ahrq.gov/program-overview/research-stories/decision-precision-increasing-lung-cancer-screening-risk-patients
January 01, 2023 - Decision Precision+: Increasing Lung Cancer Screening for At-Risk Patients
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Scaling Effective Digital Healthcare Interventions Across Healthcare Systems
A shared decision-making tool to support the appropriate use of low-…
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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
January 19, 2012 - Study
Electronic health record-based triggers to detect potential delays in cancer diagnosis.
Citation Text:
Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8-16. doi:10.1136/bmjqs-201…
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digital.ahrq.gov/technology/clinical-documentation
January 01, 2023 - Clinical Documentation
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial…
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integrationacademy.ahrq.gov/news-and-events/news/ahrq-commits-priority-actions-suicide-prevention
May 22, 2024 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/technology/device
January 01, 2023 - Device
HIT for Medication Safety in Critical Access Hospitals - Final Report
Citation
Hartzema A. HIT for Medication Safety in Critical Access Hospitals - Final Report. (Prepared by Doctors Memorial Hospital under Grant No. P20 HS015325). Rockville, MD: Agency for Healthcare R…
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integrationacademy.ahrq.gov/news-and-events/news/deaths-excessive-alcohol-use-increase-significantly-ahrq-initiative-can-help
March 13, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/technology/data-warehouse
January 01, 2023 - Data Warehouse
Registry-Assisted Dissemination of Mobile Pain Management for Youth With Arthritis - Final Report
Citation
Connelly, M. Registry-Assisted Dissemination of Mobile Pain Management for Youth With Arthritis - Final Report. (Prepared by the Children's Mercy Kansas Ci…
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psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
August 14, 2018 - Study
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool.
Citation Text:
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Study
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.
Citation Text:
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …
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psnet.ahrq.gov/issue/review-medication-error-sources-associated-inpatient-subcutaneous-insulin-recommendations
June 17, 2020 - Review
Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.
Citation Text:
McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insul…
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Review
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Citation Text:
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.732…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence6.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Windows of Opportunity
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Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
Conclusion…
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psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
April 05, 2013 - Review
Classic
Hospital-based medication reconciliation practices: a systematic review.
Citation Text:
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-69. do…