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  1. psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…
  2. psnet.ahrq.gov/issue/association-between-culture-climate-and-quality-care-primary-health-care-teams
    May 30, 2011 - Commentary The association between culture, climate and quality of care in primary health care teams. Citation Text: Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in primary health care teams. Fam Pract. 2007;24(4):323-9. Copy Citati…
  3. psnet.ahrq.gov/issue/its-not-all-about-me-motivating-hand-hygiene-among-health-care-professionals-focusing
    May 29, 2019 - Study It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Citation Text: Grant AM, Hofmann DA. It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Psychol Sci. 2011;22(12):1494-9. do…
  4. psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
    November 04, 2020 - Review Obstetric medical emergency teams are a step forward in maternal safety! Citation Text: Al Kadri HMF. Obstetric medical emergency teams are a step forward in maternal safety!. J Emerg Trauma Shock. 2010;3(4):337-341. doi:10.4103/0974-2700.70755. Copy Citation Format: …
  5. psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
    January 12, 2022 - Commentary In the wake of hospital inquiries: impact on staff and safety. Citation Text: Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. Copy Citation Format: Google Scholar PubMed BibTeX…
  6. psnet.ahrq.gov/issue/clinical-questions-raised-clinicians-point-care-systematic-review
    May 04, 2022 - Review Clinical questions raised by clinicians at the point of care: a systematic review. Citation Text: Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014…
  7. psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
    July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…
  8. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
    November 17, 2020 - Transforming Care for People Living with Multiple Chronic Conditions Transforming Care for People Living with Multiple Chronic Conditions Arlene Bierman, M.D., M.S. Director, Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality November 17, 2020 Why MCC? • Common, Costly • H…
  9. psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
    April 24, 2019 - Newspaper/Magazine Article Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. Citation Text: Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
  10. digital.ahrq.gov/ahrq-funded-projects/interoperable-reusable-and-scalable-shared-decision-aid-navigator-system
    August 31, 2025 - An Interoperable, Reusable, and Scalable Shared Decision Aid Navigator System: Supporting the 5 Rights of Patient Shared Decision Making Project Description Using interoperable standards to create a reusable, sharable, and scalable system for patient shared decision aids has th…
  11. psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
    May 24, 2015 - Book/Report Classic The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. Citation Text: The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…
  12. psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
    August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  13. psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
    May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …
  14. digital.ahrq.gov/2018-year-review/research-summary/simple-mobile-application-key-patient-engagement-reporting-and
    January 01, 2018 - A Simple Mobile Application is Key to Patient Engagement in Reporting and Monitoring of Asthma Symptoms Key Finding and Impact: A simple app, designed with input from patients, resulted in 92 percent of patients continuing to report their asthma outcomes at the end of the study. A tool like this simple app ma…
  15. hcup-us.ahrq.gov/db/vars/key_nis/nisnote.jsp
    September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
  16. psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
    July 13, 2022 - Study Factors associated with diagnostic error: an analysis of closed medical malpractice claims. Citation Text: Grenon V, Szymonifka J, Adler-Milstein J, et al. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. J Patient Saf. 2023;19(3):211-215.…
  17. Nrdbrochure 050218 (pdf file)

    hcup-us.ahrq.gov/news/exhibit_booth/NRDBrochure_050218.pdf
    May 16, 2018 - What is the NRD? The Nationwide Readmissions Database (NRD) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NRD is a unique and powerful database designed to support various types of analyses of national readmission rates for all payers and the…
  18. psnet.ahrq.gov/issue/safe-use-health-information-technology
    December 23, 2016 - Sentinel Event Alerts Safe use of health information technology. Citation Text: Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6. Copy Citation Save Save to your library Print Download PDF Share Faceb…
  19. www.ahrq.gov/talkingquality/plan/pay.html
    November 01, 2018 - How Will You Pay for a Health Care Quality Report? A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…
  20. psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
    September 02, 2020 - Commentary Three perspectives on changes in resident work environment and duty hours. Citation Text: Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. Copy Citation S…