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  1. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet

    psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
    September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…

  2. Momentary interruptions can derail the train of thought. | PSNet

    psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
    May 18, 2022 - Study Momentary interruptions can derail the train of thought. Citation Text: Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986. Copy Citation Format: DOI Google Scholar P…

  3. Hospitals often ignore policies on using qualified medical interpreters. | PSNet

    psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
    April 22, 2016 - Newspaper/Magazine Article Hospitals often ignore policies on using qualified medical interpreters. Citation Text: Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. Co…

  4. Improving patient safety using interactive, evidence-based decision support tools. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-using-interactive-evidence-based-decision-support-tools
    September 14, 2022 - Commentary Improving patient safety using interactive, evidence-based decision support tools. Citation Text: Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. Copy Citation Form…

  5. Obstetric safety and quality. | PSNet

    psnet.ahrq.gov/issue/obstetric-safety-and-quality
    October 20, 2014 - Commentary Obstetric safety and quality. Citation Text: Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  6. Burnout syndrome among healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
    September 01, 2018 - Commentary Burnout syndrome among healthcare professionals. Citation Text: Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460. Copy Citation Format: DOI Google Scholar Pub…

  7. Medication errors in pediatric inpatients: prevalence and results of a prevention program. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-inpatients-prevalence-and-results-prevention-program
    May 22, 2019 - Study Medication errors in pediatric inpatients: prevalence and results of a prevention program. Citation Text: Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/…

  8. Assessing the quality of patient handoffs at care transitions. | PSNet

    psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
    April 24, 2013 - Study Assessing the quality of patient handoffs at care transitions. Citation Text: Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430. Copy Citation Format: …

  9. Improving the accuracy of patient identification in the medication-use process. | PSNet

    psnet.ahrq.gov/issue/improving-accuracy-patient-identification-medication-use-process
    May 09, 2014 - Commentary Improving the accuracy of patient identification in the medication-use process. Citation Text: Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2. Copy Citation …

  10. Medication errors and patient complications with continuous renal replacement therapy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy
    June 25, 2009 - Study Medication errors and patient complications with continuous renal replacement therapy. Citation Text: Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. Copy Cita…

  11. Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. | PSNet

    psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
    November 04, 2020 - Commentary Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. Citation Text: Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. Copy Citation Format: DOI Google…

  12. Impact of the unit-based patient safety officer. | PSNet

    psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
    September 19, 2012 - Study Impact of the unit-based patient safety officer. Citation Text: Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm. 2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e. Copy Citation Format: DOI Google Scholar PubM…

  13. Crowding in the Emergency Department: Challenges for the Care of Children. | PSNet

    psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
    October 19, 2022 - Organizational Policy/Guidelines Crowding in the Emergency Department: Challenges for the Care of Children. Citation Text: Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…

  14. USA, MD, Baltimore | Digital Healthcare Research

    digital.ahrq.gov/location/usa-md-baltimore
    January 01, 2023 - USA, MD, Baltimore Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Description This research examines whether remote therapeutic monitoring can improve p…

  15. Johns Hopkins University | Digital Healthcare Research

    digital.ahrq.gov/organization/johns-hopkins-university
    January 01, 2023 - Johns Hopkins University Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Description This research examines whether remote therapeutic monitoring can imp…

  16. Ambiguity and workarounds as contributors to medical error. | PSNet

    psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
    December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. Citation Text: Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  17. What is accountability in health care? | PSNet

    psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  18. AHRQ Sitemap | Agency for Healthcare Research and Quality

    www.ahrq.gov/sitemap.html
    August 31, 2025 - AHRQ Main Site Topics Priority Populations About Priority Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents Special Healthcare Needs Women Information in Spanish Programs Rese…

  19. What is preventable harm in healthcare? A systematic review of definitions. | PSNet

    psnet.ahrq.gov/issue/what-preventable-harm-healthcare-systematic-review-definitions
    September 23, 2020 - Review What is preventable harm in healthcare? A systematic review of definitions. Citation Text: Nabhan M, Elraiyah T, Brown DR, et al. What is preventable harm in healthcare? A systematic review of definitions. BMC Health Serv Res. 2012;12:128. doi:10.1186/1472-6963-12-128. Copy Ci…

  20. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet

    psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
    May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…
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