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  1. Measuring hospital-acquired complications associated with low-value care. | PSNet

    psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
    August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…

  2. Learning from errors and resilience. | PSNet

    psnet.ahrq.gov/issue/learning-errors-and-resilience
    December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

  3. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. | PSNet

    psnet.ahrq.gov/issue/assessing-utility-chatgpt-throughout-entire-clinical-workflow-development-and-usability-study
    February 12, 2020 - Study Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. Citation Text: Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res. 2023…

  4. IMPLEMENT California Asthma QI Collaborative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdf
    June 02, 2025 - IMPLEMENT California Asthma QI Collaborative IMPLEMENT California Asthma QI Collaborative 11 REQUIRED MEASURES numbered 1 - 4 Measures 1 – 4 are for children/adolescents between the ages of 3-21 # Measure name Definition for Data Collection; Excl…

  5. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/role-housestaff-implementing-medication-reconciliation-admission-academic-medical-center
    March 30, 2011 - Commentary The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Citation Text: Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Me…

  6. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

    psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
    October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Citation Text: Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …

  7. Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

    psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
    December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

  8. The stories clinicians tell: achieving high reliability and improving patient safety. | PSNet

    psnet.ahrq.gov/issue/stories-clinicians-tell-achieving-high-reliability-and-improving-patient-safety
    April 24, 2018 - Commentary The stories clinicians tell: achieving high reliability and improving patient safety. Citation Text: Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. Copy Citation …

  9. The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. | PSNet

    psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
    April 24, 2018 - Study The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. Citation Text: Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…

  10. Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
    July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…

  11. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. | PSNet

    psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-criminal-law
    November 13, 2024 - Commentary Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. Citation Text: Ost S. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. J Med Ethics. 2019;45(3):151-155. doi:10.1136/medethics-2018-105135. Copy Citation Format: DOI …

  12. Three perspectives on changes in resident work environment and duty hours. | PSNet

    psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
    September 02, 2020 - Commentary Three perspectives on changes in resident work environment and duty hours. Citation Text: Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. Copy Citation S…

  13. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. | PSNet

    psnet.ahrq.gov/issue/bridging-gap-leveraging-business-intelligence-tools-support-patient-safety-and-financial
    February 15, 2011 - Commentary Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. Citation Text: Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…

  14. How informatics nurses use bar code technology to reduce medication errors. | PSNet

    psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
    August 04, 2021 - Commentary How informatics nurses use bar code technology to reduce medication errors. Citation Text: Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. Copy Citation Format:…

  15. Epidemiology of adverse events in air medical transport. | PSNet

    psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
    July 03, 2014 - Study Epidemiology of adverse events in air medical transport. Citation Text: MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. Copy Citation Format: DOI Go…

  16. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  17. Emergency department visits for antibiotic-associated adverse events. | PSNet

    psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
    October 31, 2014 - Study Emergency department visits for antibiotic-associated adverse events. Citation Text: Shehab N, Patel PR, Srinivasan A, et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735-43. doi:10.1086/591126. Copy Citation Format: …

  18. Guideline for opioid therapy and chronic noncancer pain. | PSNet

    psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
    June 17, 2014 - Review Guideline for opioid therapy and chronic noncancer pain. Citation Text: Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363. Copy Citation Format: DOI Google Scholar P…

  19. Application of lean thinking to health care: issues and observations. | PSNet

    psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
    May 28, 2015 - Commentary Application of lean thinking to health care: issues and observations. Citation Text: Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…

  20. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…
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