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41. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
    psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
    November 01, 2023 - Inadvertent Use of More Potent Acid Leads to Burn Citation Text: Maibach HI. Inadvertent Use of More Potent Acid Leads to Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar B…

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/859351/psn-pdf
    January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examinatio…

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. March 5, 2025 Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine- related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117. doi:10…

44. Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh20.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratifi…

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74857/psn-pdf
    February 23, 2022 - Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. February 23, 2022 Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Intern Emerg Med. 2022;17(4):979-988…

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866731/psn-pdf
    September 18, 2024 - Root cause analysis of cases involving diagnosis. September 18, 2024 Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis Root cause analy…

47. Using Patient Cases for Learning | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
    September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Using Patient Cases for Learning Previous Page Next Page Table of Contents Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Lea…

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47880/psn-pdf
    June 18, 2019 - A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. June 18, 2019 Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety Principles. Jt Comm J Qual Patient…

49. Du Moulin MFMT et al. 2003 "The reliability of diagnosis using store-and-forward teledermatology." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/du-moulin-mfmt-et-al
    January 01, 2023 - Du Moulin MFMT et al. 2003 "The reliability of diagnosis using store-and-forward teledermatology." Reference Du Moulin MFMT, Bullens-Goessens YIJM, Henquet CJM, et al. The reliability of diagnosis using store-and-forward teledermatology. J Telemed Telecare 2003;9(5):249-252. Abstract "We compa…

50. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201809.html
    January 01, 2019 - AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low Search All Impact Case Studies January 2019 Chicago’s NorthShore University Health System was on a mission to maintain low rates of catheter-associated urinary tract infections (CAUTI). Then NorthShore infection preventionist Mona …

51. Berner ES et al. 1999 "Effects of a decision support system on physicians' diagnostic performance." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berner-es-et-al-1999
    January 01, 1999 - Berner ES et al. 1999 "Effects of a decision support system on physicians' diagnostic performance." Reference Berner ES, Maisiak RS, Cobbs CG, et al. Effects of a decision support system on physicians' diagnostic performance. J Am Med Inform Assoc 1999;6(5):420-427. [Link] Abstract "Purpose:…

52. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) 1. Title Page Title: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) Principal Investigator and Team Members Research Team UCSF Andrew Auerbach, MD, MPH (PI) Tiffany Lee, BA Gilmer Valdes, PhD, DABR Colin Hubbard, Ph…

53. Exhibit 14. Schematic showing the sampling process for chart review and the assignment of true and false positives and negatives | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh14.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 14. Schematic showing the sampling process for chart review and the assignment of true and false positives and negatives Previous Page Next Page Table of Contents Improving the Measurement of Surgical …

54. CHIPRA 212 Tables 5 to 8 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tables-5-8.pdf
    June 02, 2025 - CHIPRA 212 Tables 5 to 8 Table 5. Mean (Standard Deviation) Proportion in Racial Groups Within Zip Codes of Residence* American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Two or More Races Other Children meeting denominator c…

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73493/psn-pdf
    July 14, 2021 - Safety cases for digital health innovations: can they work? July 14, 2021 Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf. 2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983. https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work This commen…

56. The Excellence Report: Quality Measures for Colonoscopy (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportQMs.pdf
    June 16, 2021 - The Excellence Report: Quality Measures for Colonoscopy The Excellence Report: Quality Measures for Colonoscopy Quality Measure 1. Preprocedure risk assessment is documented. Quality Measure 2. A management plan is documented for patients on oral anticoagulants. Quality Measure 3. Sedation medication(s…

57. The hidden dangers of outsourcing radiology. | PSNet
    psnet.ahrq.gov/issue/hidden-dangers-outsourcing-radiology
    December 19, 2007 - Newspaper/Magazine Article The hidden dangers of outsourcing radiology. Citation Text: The hidden dangers of outsourcing radiology. Eban K. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

58. Retained Surgical Items: Definition and Epidemiology. | PSNet
    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - Retained Surgical Items: Definition and Epidemiology. Citation Text: Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74130/psn-pdf
    December 01, 2021 - Malpractice cases in breast surgery: an assessment of litigation involving surgeons. December 1, 2021 Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-10236-2. https://psnet.ahrq.gov/…

60. Results | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Results Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion …