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  1. psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
    June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…
  2. psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
    July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…
  3. psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
    April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…
  4. psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
    July 27, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administra…
  5. psnet.ahrq.gov/issue/hand-hygiene-and-healthcare-system-change-within-multi-modal-promotion-narrative-review
    January 05, 2012 - Review Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. Citation Text: Allegranzi B, Sax H, Pittet D. Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. J Hosp Infect. 2013;83 Suppl 1:S3-10. doi:10.1016…
  6. psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
    May 26, 2021 - Review Classic Engaging patients to improve quality of care: a systematic review. Citation Text: Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…
  7. psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
    March 05, 2014 - Study Medical students' experiences, perceptions, and management of second victim: an interview study. Citation Text: Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…
  8. psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
    December 27, 2018 - Commentary Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. Citation Text: Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…
  9. psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
    January 19, 2012 - Study Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. Citation Text: Singh H, Hirani K, Kadiyala H, et al. Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health rec…
  10. psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
    December 07, 2022 - Study Patient perception of fall risk and fall risk screening scores. Citation Text: Solares NP, Calero P, Connelly CD. Patient perception of fall risk and fall risk screening scores. J Nurs Care Qual. 2023;38(2):100-106. doi:10.1097/ncq.0000000000000645. Copy Citation Format: …
  11. psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
    June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44644/psn-pdf
    February 14, 2017 - is under pressure to relax restrictions on marketing of drugs for off-label purposes and raises the concern
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46766/psn-pdf
    January 17, 2018 - Through qualitative analysis, they identified a concern about loss of physicians' decision-making autonomy
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35524/psn-pdf
    October 06, 2016 - However, providers in intensive care settings expressed concern about the negative impact new designs
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36979/psn-pdf
    February 28, 2011 - research has shown fewer errors when housestaff worked shorter shifts, many commentators have raised concern
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36460/psn-pdf
    May 27, 2011 - While prior research has raised concern that implementation of CPOE systems may result in more ADEs,
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46594/psn-pdf
    November 01, 2017 - Respondents had significant concern about affecting collegial relationships and expressed a desire for
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43474/psn-pdf
    August 28, 2017 - ://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety Prior studies have raised the concern
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47178/psn-pdf
    July 10, 2018 - defining-estimating-and-communicating-overdiagnosis-cancer-screening Overdiagnosis is a growing area of concern
  20. cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
    December 01, 2018 - Enhancements made to align with the CDC guideline Clinical Concept Concern and Enhancement Comments … of the summary was the best way forward. 10 Clinical Concept Concern … Enhancements made in collaboration with the pilot site Clinical Concept Concern and Enhancement Comments … are always empty since encounters don’t carry those dates. 13 Clinical Concept Concern … Enhancements made during CDS integration Clinical Concept Concern and Enhancement Comments Assessment