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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD
October 1, 2010
In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He…
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psnet.ahrq.gov/issue/predicting-computerized-physician-order-entry-system-adoption-us-hospitals-can-federal
October 06, 2011 - Study
Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met?
Citation Text:
Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…
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psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
August 03, 2017 - Study
The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.
Citation Text:
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…
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psnet.ahrq.gov/issue/use-lives-saved-measures-nurse-staffing-and-patient-safety-research-statistical
May 21, 2009 - Study
The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations.
Citation Text:
Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Nurs R…
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psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
July 01, 2017 - Study
The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture.
Citation Text:
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…
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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - Study
Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients.
Citation Text:
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurg…
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psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
July 01, 2016 - Study
Classic
Variability in the measurement of hospital-wide mortality rates.
Citation Text:
Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …
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psnet.ahrq.gov/issue/advances-prevention-and-control-hais
August 20, 2018 - Book/Report
Advances in the Prevention and Control of HAIs.
Citation Text:
Advances in the Prevention and Control of HAIs. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. AHRQ Publication No. 14-0003.
Copy Citatio…
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psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
October 02, 2013 - Government Resource
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs).
Citation Text:
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Diagnostic Errors
January 1, 2014
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/diagnostic-errors
Annual Perspective 2014
Until very recently, diagnostic errors received relatively little attention in the field of patient safety,
particularly when compared wi…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
December 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Lung Nodule That Refused To Grow
*
*
Source and Credits
This presentation is based on the December 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Alex A. Balekian, MD, MSHS, Keck School of Med…
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
April 24, 2018 - Study
What is the return on investment for implementation of a crew resource management program at an academic medical center?
Citation Text:
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…
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psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
October 13, 2018 - Study
Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.
Citation Text:
McGinty EE, Bicket MC, Seewald NJ, et al. Effects of state opioid prescribing laws on use of opioid and other pain treatments among commerciall…
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psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
April 22, 2017 - Review
Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates.
Citation Text:
Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…
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psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
March 24, 2011 - Review
The incidence and nature of in-hospital adverse events: a systematic review.
Citation Text:
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
February 10, 2015 - Commentary
The social cost of adverse medical events, and what we can do about it.
Citation Text:
Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256.
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psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-system
January 19, 2014 - Study
Classic
Return on investment for a computerized physician order entry system.
Citation Text:
Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6.
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psnet.ahrq.gov/issue/improving-safety-and-eliminating-redundant-tests-cutting-costs-us-hospitals
May 27, 2011 - Study
Classic
Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals.
Citation Text:
Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(…
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psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
June 21, 2010 - Study
Classic
Adverse drug events in U.S. adult ambulatory medical care.
Citation Text:
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…
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psnet.ahrq.gov/issue/changes-prevalence-health-care-associated-infections-us-hospitals
December 18, 2014 - Study
Classic
Changes in prevalence of health care-associated infections in U.S. hospitals.
Citation Text:
Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744…