-
psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
May 28, 2015 - Study
Classic
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.
Citation Text:
Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes…
-
psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
October 27, 2021 - Study
Individual surgeon mortality rates: can outliers be detected? A national utility analysis.
Citation Text:
Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…
-
psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
September 12, 2016 - Study
Classic
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Citation Text:
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…
-
psnet.ahrq.gov/issue/national-costs-medical-liability-system
May 20, 2015 - Study
Classic
National costs of the medical liability system.
Citation Text:
Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807.
Copy Citation
F…
-
psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis
January 26, 2022 - Study
Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample.
Citation Text:
Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…
-
psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Study
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Citation Text:
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…
-
psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - Study
Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores.
Citation Text:
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…
-
psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
September 29, 2017 - Study
Association between Leapfrog safe practices score and hospital mortality in major surgery.
Citation Text:
Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…
-
psnet.ahrq.gov/issue/interventions-reduce-pediatric-medication-errors-systematic-review
December 04, 2016 - Review
Interventions to reduce pediatric medication errors: a systematic review.
Citation Text:
Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531.
Copy Citation …
-
psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
November 04, 2020 - Review
Accuracy of pediatric trauma field triage: a systematic review.
Citation Text:
van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050.
Copy Citation
Fo…
-
www.ahrq.gov/news/blog/ahrqviews/opportunity-improve-healthcare.html
May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Seizing the Opportunity to Improve Healthcare for All
MAY
10
2022
By
Robert Otto Valdez,
Ph.D., M.H.S.A.
Hello, friends. After many decades of admiring AHRQ—its mission, work, and people—I am deeply honored to lead this organization. I…
-
www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors
AUG
22
2022
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
R. Valdez, Ph.D., M.H.S.A.
Too many Americans have experienced the health-related consequences and anxieties that f…
-
psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
July 08, 2008 - Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Citation Text:
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
-
psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors
April 12, 2023 - Study
Association of a web-based handoff tool with rates of medical errors.
Citation Text:
Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258.
Copy Citation
…
-
psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
December 04, 2024 - Study
Classic
Medicare's policy not to pay for treating hospital-acquired conditions: the impact.
Citation Text:
McNair PD, Luft HS, Bindman AB. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. Health Aff (Millwood). 2009;28(5)…
-
psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
December 08, 2010 - Study
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Citation Text:
Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…
-
psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
December 21, 2018 - Study
Assessing frequency and risk of weight entry errors in pediatrics.
Citation Text:
Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865.
Copy Citation …
-
psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
-
psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
February 12, 2020 - Study
Emerging Classic
Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study
Citation Text:
Montoy JCC, Coralic Z, Herring AA, et al…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
June 02, 2025 - Job Aid: Joy in Work
Primary Care Practice Facilitator
Training Series
1
Job Aid: Joy in Work
Joy in work is one of three categories of common goals practices
have for improvement. Joy in work is central to good patient
care and in recognition of this, the national triple aim has been
expanded to…