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psnet.ahrq.gov/node/47893/psn-pdf
April 08, 2019 - Challenges with implementing the Centers for Disease
Control and Prevention opioid guideline: a consensus
panel report.
April 8, 2019
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and
Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
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psnet.ahrq.gov/node/38722/psn-pdf
June 24, 2009 - Why do people sue doctors? A study of patients and
relatives taking legal action.
June 24, 2009
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal
action. Lancet. 1994;343(8913):1609-1613.
https://psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-a…
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psnet.ahrq.gov/node/34949/psn-pdf
June 23, 2009 - A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continuity
of care and resident work hours.
June 23, 2009
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continui…
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psnet.ahrq.gov/node/35467/psn-pdf
March 11, 2011 - The impact of electronic health records on time efficiency
of physicians and nurses: a systematic review.
March 11, 2011
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of
physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12(5):505-16.
https…
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psnet.ahrq.gov/node/46627/psn-pdf
January 30, 2018 - The lost art of doctoring: reflections of a pediatric
resident.
January 30, 2018
Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10.
doi:10.1001/jamapediatrics.2017.3247.
https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
There are…
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psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Surgical never events and contributing human factors.
November 3, 2015
Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery.
2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053.
https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
Never even…
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psnet.ahrq.gov/node/38935/psn-pdf
March 01, 2017 - Leadership committed to safety.
December 23, 2016
Sentinel Event Alert. August 27, 2009;(43):1-3.
https://psnet.ahrq.gov/issue/leadership-committed-safety
Despite the past decade's focus on improving patient safety, most health care organizations are still striving
to achieve high reliability status—consistently p…
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psnet.ahrq.gov/node/44158/psn-pdf
September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and
adverse drug events in the Medicare Part D population
with diabetes.
September 30, 2015
Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse
drug events in the Medicare Part D population with diabetes. J Am Med Inform…
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psnet.ahrq.gov/node/865971/psn-pdf
May 29, 2024 - Lessons learned from a national hospital antibiotic
stewardship implementation project.
May 29, 2024
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship
implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002.
https://…
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psnet.ahrq.gov/node/73190/psn-pdf
April 28, 2021 - Gender biases in estimation of others' pain.
April 28, 2021
Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-
1059. doi:10.1016/j.jpain.2021.03.001.
https://psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
Unconscious assumptions and implicit biases…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/privacy-and-security-0
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…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/davis.html
November 01, 2022 - Subcommittee Member: Nichola Davis
Nichola Davis, M.D., M.S.
Vice President and Chief Population Health Officer
Office of Ambulatory Care and Population Health
New York City Health + Hospitals
Clinical Professor
Department of Population Health
NYU Grossman School of Medicine
Dr. Davis is Vice Preside…
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/45447/psn-pdf
January 01, 2018 - Targeted implementation of the Comprehensive Unit-
Based Safety Program through an assessment of safety
culture to minimize central line-associated bloodstream
infections.
December 19, 2017
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program
through an assessment of sa…
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psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your
Organization, Third Edition.
April 13, 2018
Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756.
https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
Although early efforts in the patient saf…
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psnet.ahrq.gov/node/41556/psn-pdf
January 03, 2017 - Patient safety reporting systems: sustained quality
improvement using a multidisciplinary team and "Good
Catch" awards.
January 3, 2017
Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using
a Multidisciplinary Team and “Good Catch” Awards. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…
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psnet.ahrq.gov/node/45602/psn-pdf
February 20, 2017 - Ethical considerations in the development of the
Flexibility in Duty Hour Requirements for Surgical
Trainees trial.
February 20, 2017
Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty
Hour Requirements for Surgical Trainees Trial. JAMA Surg. 2017;152(1):7-8.
d…
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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives
across an institution: informing recommendations for
health systems and an expanded conceptual framework
for handoffs.
August 23, 2023
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee
perspectives across an i…
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/calculating-sample-size.html
August 01, 2024 - Calculating the Starting Sample Size for CAHPS Surveys
The starting sample size you need to achieve the desired number of completed CAHPS questionnaires for analysis and reporting should take several factors into account: The accuracy of the contact information. The mode or modes of data collection. Any prior s…