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4021. Medicare penalizes dozens of hospitals it also gives five stars. | PSNet
      psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
      March 03, 2021 - Newspaper/Magazine Article Medicare penalizes dozens of hospitals it also gives five stars. Citation Text: Medicare penalizes dozens of hospitals it also gives five stars. Rau J. Kaiser Health News. February 8, 2022.  Copy Citation Save Save to your library…

4022. How nursing homes’ worst offenses are hidden from the public. | PSNet
      psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
      September 22, 2021 - Newspaper/Magazine Article How nursing homes’ worst offenses are hidden from the public. Citation Text: How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021. Copy Citation Save …

4023. Full disclosure and apology—an idea whose time has come. | PSNet
      psnet.ahrq.gov/issue/full-disclosure-and-apology-idea-whose-time-has-come
      November 02, 2014 - Newspaper/Magazine Article Full disclosure and apology—an idea whose time has come. Citation Text: Leape L. Full disclosure and apology--an idea whose time has come. Physician Exec. 2006;32(2):16-18. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

4024. Physician perception of hospital safety and barriers to incident reporting. | PSNet
      psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
      February 16, 2011 - Study Physician perception of hospital safety and barriers to incident reporting. Citation Text: Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. Copy Citation Format: Goog…

4025. Preventing overdiagnosis: how to stop harming the healthy. | PSNet
      psnet.ahrq.gov/issue/preventing-overdiagnosis-how-stop-harming-healthy
      January 02, 2013 - Commentary Preventing overdiagnosis: how to stop harming the healthy. Citation Text: Moynihan R, Doust J, Henry D. Preventing overdiagnosis: how to stop harming the healthy. BMJ. 2012;344:e3502. doi:10.1136/bmj.e3502. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

4026. Judging whether a patient is actually improving: more pitfalls from the science of human perception. | PSNet
      psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
      September 04, 2019 - Review Judging whether a patient is actually improving: more pitfalls from the science of human perception. Citation Text: Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…

4027. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet
      psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
      October 12, 2005 - Study Emerging Classic Disclosure after adverse medical outcomes: a multidimensional challenge. Citation Text: Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. Copy Citation …

4028. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet
      psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
      November 18, 2011 - Book/Report Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Citation Text: Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…

4029. Teaching and medical errors: primary care preceptors' views. | PSNet
      psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
      August 05, 2009 - Study Teaching and medical errors: primary care preceptors' views. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

4030. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. | PSNet
      psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
      April 19, 2011 - Study Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. Citation Text: Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…

4031. Challenging the world: patient safety and health care-associated infection. | PSNet
      psnet.ahrq.gov/issue/challenging-world-patient-safety-and-health-care-associated-infection
      October 21, 2010 - Commentary Challenging the world: patient safety and health care-associated infection. Citation Text: Pittet D, Donaldson LJ. Challenging the world: patient safety and health care-associated infection. Int J Qual Health Care. 2006;18(1):4-8. Copy Citation Format: Google S…

4032. Nowhere is safe: record number of patients contracted Covid in the hospital in January. | PSNet
      psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
      November 18, 2020 - Newspaper/Magazine Article Nowhere is safe: record number of patients contracted Covid in the hospital in January. Citation Text: Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022. Copy Citation …

4033. CAHPS End-of-Life Care Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/end-of-life/index.html
      May 01, 2025 - CAHPS End-of-Life Care Survey The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey assesses healthcare experiences in the last month of life, including care experiences across a range of care providers and settings, such as at a doctor’s office or clinic, in a hospital or…

4034. The systems approach to medicine: controversy and misconceptions. | PSNet
      psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
      June 24, 2020 - Commentary The systems approach to medicine: controversy and misconceptions. Citation Text: Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. Copy Citation Format: DOI Googl…

4035. Physicians with multiple patient complaints: ending our silence. | PSNet
      psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
      June 01, 2004 - Commentary Physicians with multiple patient complaints: ending our silence. Citation Text: Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880. Copy Citation Format: DOI G…

4036. Disclosing harmful medical errors to patients: a time for professional action. | PSNet
      psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
      June 01, 2004 - Commentary Disclosing harmful medical errors to patients: a time for professional action. Citation Text: Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. Copy Citation Format: DOI Googl…

4037. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet
      psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
      October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…

4038. Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. | PSNet
      psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
      May 18, 2022 - Newspaper/Magazine Article Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. Citation Text: Are you well positioned to resolve conflicts with the safety of an order? Learning…

4039. Medication errors in anaesthesia and critical care. | PSNet
      psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
      January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

4040. Preventing CAUTI in the ICU Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
      February 01, 2023 - Preventing CAUTI in the ICU Setting Module 4: Summary and Next Steps Facilitator Notes Slide 1 No notes for this slide. Slide 2 Say: You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned th…