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  1. www.ahrq.gov/news/newsroom/case-studies/202202.html
    February 01, 2022 - Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ Safety Program to Lower Bloodstream Infections Search All Impact Case Studies February 2022 Using AHRQ's Comprehensive Unit-based Safety Program ( CUSP ), Henry Ford Hospital in Detroit has reduced the incidence of central line-associated bloodstream …
  2. psnet.ahrq.gov/issue/national-study-links-nurses-physical-and-mental-health-medical-errors-and-perceived-worksite
    July 14, 2021 - Study A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. Citation Text: Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…
  3. psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
    December 21, 2014 - Slideset Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. Citation Text: Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…
  4. psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
    January 12, 2012 - Study Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. Citation Text: Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…
  5. psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
    May 04, 2022 - Review Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage. Citation Text: Silva LT, Modesto ACF, Amaral RG, et al. Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies wit…
  6. psnet.ahrq.gov/issue/assessment-patients-ability-review-electronic-health-record-information-identify-potential
    July 27, 2022 - Study Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. Citation Text: Freise L, Neves AL, Flott K, et al. Assessment of patients' ability to review electronic health record information to identi…
  7. digital.ahrq.gov/ahrq-funded-projects/implementing-and-improving-integration-decision-support-outpatient-clinical/annual-summary/2011
    January 01, 2011 - Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow - 2011 Project Name Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow Principal Investigator Doebbling, Bradley Organization Indiana…
  8. psnet.ahrq.gov/issue/registered-nurses-and-medical-doctors-experiences-patient-safety-health-information-exchange
    July 22, 2020 - Review Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review. Citation Text: Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experienc…
  9. psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
    January 26, 2022 - Study Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. Citation Text: Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
  10. digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-participants
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  11. psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19
    October 21, 2020 - Commentary Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. Citation Text: Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …
  12. psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
    March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. Citation Text: de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…
  13. psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
    March 24, 2021 - Study Emerging Classic The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. Citation Text: Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…
  14. psnet.ahrq.gov/issue/scientific-literature-coronaviruses-covid-19-and-its-associated-safety-related-research
    January 26, 2022 - Review Classic The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review. Citation Text: Haghani M, Bliemer MCJ, Goerlandt F, et al. The scientific literature on Corona…
  15. psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
    May 19, 2021 - Study Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. Citation Text: Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and…
  16. psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence
    March 18, 2020 - Study Healthcare professionals experience of psychological safety, voice, and silence. Citation Text: O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. Copy…
  17. psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
    December 18, 2019 - Review Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. Citation Text: Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…
  18. psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
    September 29, 2021 - Review What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. Citation Text: Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An …
  19. psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
    July 07, 2021 - Review Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Citation Text: White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…
  20. psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
    December 21, 2022 - Study Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. Citation Text: Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…