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  1. psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
    July 20, 2022 - Study Incoming interns recognize inadequate physical examination as a cause of patient harm. Citation Text: Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…
  2. psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
    October 19, 2022 - Study Modes of failure in venous thromboembolism prophylaxis. Citation Text: Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. Copy Citation Format: DOI Google Scholar…
  3. digital.ahrq.gov/ahrq-funded-projects/roadmap-research-international-summit-innovation-and-technology-care-older
    March 31, 2025 - A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Project Description By harnessing the knowledge and skills of a diverse assembly of global experts in Long-Term Post-Acute Care (LTPAC) at a single conference, it is…
  4. psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
    November 29, 2023 - Organizational Policy/Guidelines Guidelines on Human Factors in Critical Situations 2023. Citation Text: Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262. Copy Cit…
  5. psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
    March 13, 2013 - Commentary Classic Complexity science: the challenge of complexity in health care. Citation Text: Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. Copy Citation Format: Google Scho…
  6. hcup-us.ahrq.gov/news/exhibit_booth/NASSBrochure_031220.pdf
    March 18, 2020 - PowerPoint Presentation What is the NASS? The Nationwide Ambulatory Surgery Sample (NASS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NASS produces national estimates of major ambulatory surgery encounters performed in hospital-owned faci…
  7. psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
    March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Citation Text: Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …
  8. psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
    March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. Citation Text: Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…
  9. meps.ahrq.gov/data_stats/nh_info.jsp
    MEPS - Nursing Home Resources   Skip to main content An official website of the Department of Health & Human Services More Back Search ahrq.gov …
  10. psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
    February 12, 2020 - Commentary An infrastructure to provide safer, higher quality, and more equitable telehealth. Citation Text: Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
  11. www.uspreventiveservicestaskforce.org/home/getfilebytoken/E24AtkYp7cR8bp864K4CGS
    January 01, 2025 - Summary of USPSTF Final Recommendation: Screening for Osteoporosis to Prevent Fractures Clinicians Summary of USPSTF Final Recommendation Screening for Osteoporosis to Prevent Fractures January 2025 What does the USPSTF recommend? B Grade Women 65 years or older: Screen…
  12. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
    January 01, 2003 - Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial." Reference Tierney WM, Overhage JM, Murray MD, et al. Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial. …
  13. psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
    August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…
  14. psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
    October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…
  15. psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
    August 28, 2024 - Study Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. Citation Text: Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
  16. psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…
  17. psnet.ahrq.gov/issue/courage-speak-out-study-describing-nurses-attitudes-report-unsafe-practices-patient-care
    April 24, 2018 - Study The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. Citation Text: Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2…
  18. psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-champion-training-materials
    November 16, 2022 - Commentary I-PASS mentored implementation handoff curriculum: champion training materials. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794…
  19. digital.ahrq.gov/program-overview/research-stories/asthmaxcel-pro-mobile-application-support-asthma-chronic-disease-management
    January 01, 2023 - ASTHMAXcel PRO Mobile Application to Support Asthma Chronic Disease Management Theme: Engaging and Empowering Patients and Caregivers Subtheme: Using Digital Healthcare Tools in Chronic Disease Self-Management A mobile application designed to facilitate asthma self-management and shared de…
  20. psnet.ahrq.gov/issue/invisible-disability-communication-patient-safety-and-dual-sensory-impairment-older-persons
    July 01, 2019 - Commentary An invisible disability: communication, patient safety and dual sensory impairment in older persons. Citation Text: Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub …