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  1. psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers … Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers … Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers
  2. psnet.ahrq.gov/issue/social-and-environmental-conditions-creating-fluctuating-agency-safety-two-urban-academic
    August 12, 2019 - Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers … Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers … Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44222/psn-pdf
    December 04, 2016 - The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication … The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication … https://psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating … - prevent Poison control centers serve as data collection points for ambulatory medication errors that … https://psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
  4. psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
    October 19, 2022 - The Centers for Medicare and Medicaid Services (CMS) decision to withhold payment for certain hospital-acquired … Prior research suggests that academic centers and safety-net hospitals may be disproportionately affected … SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers
  5. psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
    January 20, 2021 - Errors predominantly occurred at hospitals (86%, vs 14% at ambulatory surgery centers). … SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers … A follow-up study from US Veterans Health Administration medical centers.
  6. psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
    September 23, 2020 - In 2016, the Centers for Disease Control and Prevention (CDC) released guidelines for safe opioid prescribing … SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45090/psn-pdf
    July 01, 2016 - Association between the Centers for Medicare and Medicaid Services hospital star rating and patient … Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient … https://psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star … - rating-and-patient Centers for Medicare and Medicaid Services star ratings are based on patient experience … https://psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star-rating-and-patient
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845651/psn-pdf
    November 17, 2016 - Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on … Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on … https://psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri … In this study, one patient underwent the same MRI exam at 10 local centers, plus one before and after … https://psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33957/psn-pdf
    February 05, 2018 - State Patient Safety Centers: A New Approach to Promote Patient Safety. … https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety Six states … have enacted legislation to support the development of state patient safety centers to address the … report examines the various models applied in these states to design, administer, and monitor the centers … https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
  10. psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
    November 28, 2018 - Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers … Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a … Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a … Antidepressant and antipsychotic medication errors reported to United States poison control centers
  11. psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
    June 14, 2017 - Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers … Validity of the Agency for Health Care Research and Quality Patient Safety Indicators and the Centers … Validity of the Agency for Health Care Research and Quality Patient Safety Indicators and the Centers … ) Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39616/psn-pdf
    February 02, 2011 - Infection control assessment of ambulatory surgical centers. … Infection control assessment of ambulatory surgical centers. … https://psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers This study discovered … that nearly 70% of ambulatory surgical centers had at least one lapse in infection control. … https://psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers https://psnet.ahrq.gov
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37375/psn-pdf
    December 05, 2007 - Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out … Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out … https://psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and- effective-resident-sign … https://psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign … https://psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign
  14. psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
    October 12, 2022 - Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers
  15. psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
    March 14, 2022 - Study Safety perceptions of health care leaders in 2 Canadian academic acute care centers … Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers. … Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44372/psn-pdf
    June 21, 2016 - Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital … Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired … https://psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid- … services-hospital Hospital-acquired conditions (HACs) are thought to be preventable, and the Centers … https://psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40748/psn-pdf
    September 07, 2011 - Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality … Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality … https://psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap- stroke-treatment-and … https://psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and … https://psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38804/psn-pdf
    July 22, 2009 - Tenfold therapeutic dosing errors in young children reported to US poison control centers. … Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. … /psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control- centers … ://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … ://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45099/psn-pdf
    December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory … https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq … This selective resource list offers materials for ambulatory surgery centers that seek to implement … https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory … https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45015/psn-pdf
    July 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. … Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. … https://psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers- … https://psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers-descriptive-survey … https://psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers-descriptive-survey

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