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  1. www.ahrq.gov/news/newsroom/case-studies/cquips0901.html
    October 01, 2014 - New York City Uses AHRQ Patient Safety Culture Survey to Reduce Patient Harm Search All Impact Case Studies November 2008 The New York City Health and Hospitals Corporation (HHC) has integrated the use of AHRQ's Hospital Survey on Patient Safety Culture as a core component of its corporate-wide patient sa…
  2. psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
    December 19, 2009 - Study Classic Hospital readmissions: physician awareness and communication practices. Citation Text: Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…
  3. psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
    June 07, 2023 - Study Representative case series from public hospital admissions 1998 II: surgical adverse events. Citation Text: Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591. Copy C…
  4. psnet.ahrq.gov/issue/hidden-curriculum-and-residents-attitudes-about-medical-error-disclosure-comparison-surgical
    September 30, 2020 - Study The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. Citation Text: Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and no…
  5. psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
    January 11, 2017 - Study Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. Citation Text: Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…
  6. psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
    June 25, 2014 - Study Developing a patient measure of safety (PMOS). Citation Text: Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…
  7. psnet.ahrq.gov/issue/role-registered-nurses-error-prevention-discovery-and-correction
    August 04, 2021 - Study Role of registered nurses in error prevention, discovery and correction. Citation Text: Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699. Copy Cit…
  8. psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-review
    December 15, 2014 - Review Impact of age on anaesthesiologists' competence: a narrative review. Citation Text: Giacalone M, Zaouter C, Mion S, et al. Impact of age on anaesthesiologists' competence: A narrative review. Eur J Anaesthesiol. 2016;33(11):787-793. Copy Citation Format: Google Schol…
  9. psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
    July 10, 2008 - Study Classic Posthospital medication discrepancies: prevalence and contributing factors. Citation Text: Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. …
  10. psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
    October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…
  11. psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions
    September 01, 2018 - Commentary Can communication-and-resolution programs achieve their potential? Five key questions. Citation Text: Gallagher TH, Mello MM, Sage WM, et al. Can Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions. Health Aff (Millwood). 2018;37(11):1845-1852. do…
  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