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  1. hcup-us.ahrq.gov/db/nation/nis/NIS88-92Overview_122104.pdf
    November 01, 2015 - mailto:hcupSID@cghsir.ahcpr.gov 13 The HCUP-3 Project is directed by the Agency for Health Care
  2. psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - The movement of the drill during a laminectomy should be directed laterally so that even with a slip,
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - the patient, and subjects were asked to describe the circumstance surrounding their error before we directed
  4. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/national-electronic-health-records-survey
    January 01, 2023 - National Electronic Health Records Survey This is a questionnaire designed to be completed by physicians in an ambulatory setting. The tool includes questions to assess the current state of electronic health records. Survey Document National Electronic Health Records Survey 2012 (Perso…
  5. digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-integrated-technology/citation/impact-health
    January 01, 2023 - The impact of health information technology on work process and patient care on labor and delivery. Citation Campbell EM, Li H, Mori T, et al. The impact of health information technology on work process and patient care on labor and delivery. In: Henriksen K, Battles JB, Keyes MA, et al., eds. Advance…
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/maine-health-management-coalition-pathways
    January 01, 2023 - Maine Health Management Coalition: Pathways to Excellence- Office Systems Survey 2007 This is a questionnaire designed to be completed by administrators and physicians in an ambulatory setting. The tool includes questions to assess the current state of electronic health records, electronic prescribing, an…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34701/psn-pdf
    January 04, 2017 - Making the business case for patient safety. January 4, 2017 Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. https://psnet.ahrq.gov/issue/making-business-case-patient-safety While the costs of medical error to patients are well appreciated, the direct costs…
  8. psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
    Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Penn State College of Medicine…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43008/psn-pdf
    November 21, 2014 - Understanding safety culture in long-term care: a case study. November 21, 2014 Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43348/psn-pdf
    July 16, 2014 - Identifying patient safety problems during team rounds: an ethnographic study. July 16, 2014 Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324. https://psnet.ahrq.gov/issue/identifying-patient-s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50786/psn-pdf
    January 08, 2020 - Patient Safety. January 8, 2020 Halamek LP, ed. Semin Perinatol. 2019;43(8):151172-151182.   https://psnet.ahrq.gov/issue/patient-safety-18 The neonatal intensive care unit (NICU) is a complex environment that serves a vulnerable population at increased risk for harm should errors occur. This special iss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848825/psn-pdf
    May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. May 10, 2023 Mullins L, Menard F. WBUR. April 27, 2023. https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass Incomplete information and building design problems can reduce access to care an…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60951/psn-pdf
    September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42071/psn-pdf
    February 27, 2013 - Rate of occult specimen provenance complications in routine clinical practice. February 27, 2013 Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV. https://psnet.ahrq.gov/issue/rate-occult-specimen-pr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40964/psn-pdf
    July 23, 2012 - Social capital and knowledge sharing: effects on patient safety. July 23, 2012 Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x. https://psnet.ahrq.gov/issue/social-capital-and-knowledge-s…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40130/psn-pdf
    January 12, 2011 - Patient safety culture: factors that influence clinician involvement in patient safety behaviours. January 12, 2011 Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 2010;19(6):585-91. doi:10.1136/qshc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35305/psn-pdf
    June 30, 2011 - Drug administration errors and their determinants in pediatric in-patients. June 30, 2011 Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/intqhc/mzi066. https://psnet.ahrq.gov/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38508/psn-pdf
    March 25, 2009 - Supporting structures for team situation awareness and decision making: insights from four delivery suites. March 25, 2009 Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Clin Pract. 2009;15(1):46-54. doi:10.111…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47647/psn-pdf
    January 23, 2019 - Patient Safety: Global Action on Patient Safety. January 23, 2019 Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018. https://psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety This guidance summarizes the current status of global patient safety,…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45572/psn-pdf
    March 22, 2017 - Ordering interruptions in a tertiary care center: a prospective observational study. March 22, 2017 Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016-0127. https://psnet.ahrq.gov/iss…