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  1. What words convey: the potential for patient narratives to inform quality improvement. | PSNet

    psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
    August 19, 2015 - Study What words convey: the potential for patient narratives to inform quality improvement. Citation Text: Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…

  2. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

    psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
    November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

  3. Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet

    psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
    August 20, 2014 - Commentary Improving the safety of health information technology requires shared responsibility: it is time we all step up. Citation Text: Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…

  4. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

    psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
    September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

  5. Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. | PSNet

    psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
    March 02, 2022 - Study Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Citation Text: Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. Wiig S, Haraldseid-Driftlan…

  6. Structural racism and the COVID-19 experience in the United States. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
    June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

  7. Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. | PSNet

    psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
    April 01, 2015 - Press Release/Announcement Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. Citation Text: Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…

  8. Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. | PSNet

    psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
    February 15, 2017 - Book/Report Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…

  9. An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? | PSNet

    psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
    October 07, 2020 - Study An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes? Citation Text: Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…

  10. From HRO to HERO: making health equity a core system capability. | PSNet

    psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
    September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

  11. Development of trigger tools for surveillance of adverse events in ambulatory surgery. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
    October 01, 2014 - Study Development of trigger tools for surveillance of adverse events in ambulatory surgery. Citation Text: Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.…

  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 Artifact Enhancement Based on Pilot Implementation. Factors to Consider in Managing Chronic Pain: (pdf file)

    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
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