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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36107/psn-pdf
    September 28, 2010 - The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. September 28, 2010 Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2006;24(18):2808-14. https://psn…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47518/psn-pdf
    January 23, 2019 - Evaluation of a measurement system to assess ICU team performance. January 23, 2019 Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. https://psnet.ahrq.gov/issue/evaluation-measurement-s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42746/psn-pdf
    November 20, 2013 - Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. November 20, 2013 Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospital…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37264/psn-pdf
    May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). May 21, 2014 Farley D, Morton SC, Damberg CL et al. Santa Monica, CA: Rand Corporation; 2007. https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40918/psn-pdf
    November 09, 2011 - VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. November 9, 2011 Washington, DC: United States Government Accountability Office; October 28, 2011. Publication GAO-12- 6R. https://psnet.ahrq.gov/issue/va-health-care-va…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74859/psn-pdf
    February 23, 2022 - Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. February 23, 2022 doi:http://doi.org/10.23750/abm.v92iS2.11507. https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors- p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38840/psn-pdf
    August 12, 2009 - Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. August 12, 2009 Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytojournal. 2009;6:11. doi:10.4103/17…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40922/psn-pdf
    December 21, 2014 - Assessment of latent factors contributing to error: addressing surgical pathology error wisely. December 21, 2014 Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa. https://psnet.ahrq.g…
  9. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/index.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Description of the Intervention (continued) 3. Assessment …
  10. digital.ahrq.gov/ahrq-funded-projects/improving-health-data-quality-assessing-and-enhancing-semantic-integrity
    January 01, 2023 - Improving Health Data Quality by Assessing and Enhancing Semantic Integrity Project Description Creating tools to automate the assessment and improvement of representational semantic integrity of terminologies in electronic health record databases will lead to improved database…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
    June 02, 2025 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 3 Tools 3A: Pressure Ulcer Prevention Pathway for Acute Care 3B: Elements of a Comprehensive Skin Assessment 3C: Pressure Ulcer Identification Notepad 3D: The Braden Scale for Predicting Pressure Sore Risk 3E: Norton Scale 3F: Care Plan 3G: Pat…
  12. www.ahrq.gov/action-alliance/resources/measure-domains.html
    April 01, 2025 - Resources by the CMS Patient Safety Structural Measure Domains The Patient Safety Structural Measure is an attestation-based measure to assess whether hospitals demonstrate having a structure and culture that prioritizes patient safety. The Patient Safety Structural Measure is informed by the  National Action P…
  13. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
    December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Slide 1: Overview of On-Time Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training Say: Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training.  This 2-day Facilitator training …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836842/psn-pdf
    April 07, 2022 - Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. April 7, 2022 Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.…
  15. digital.ahrq.gov/organization/university-colorado-health-sciences-center
    January 01, 2023 - University of Colorado Health Sciences Center Report on Continuity of Care Document (CCD) Functionality of Colorado Community Health Center Electronic Medical Record Systems Description This is a questionnaire designed to be completed by vendors for an ambulatory setting. The …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46723/psn-pdf
    April 12, 2019 - Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. April 12, 2019 Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph Node Metastases in Women With Breast Cancer. JAMA. 2017;318(22):219…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37515/psn-pdf
    February 06, 2008 - Probabilistic risk assessment of accidental ABO- incompatible thoracic organ transplantation before and after 2003. February 6, 2008 Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Transplantation. 2007;84(12):…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43330/psn-pdf
    July 09, 2014 - Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. July 9, 2014 Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. https://psnet.ahrq.gov/issue/impact…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …