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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60894/psn-pdf
    September 09, 2020 - Increased patient safety-related incidents following the transition into Daylight Savings Time. September 9, 2020 Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):51-54. doi:10.1007/s11606-020-0…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47002/psn-pdf
    April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). April 25, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750. https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r18 Research …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867097/psn-pdf
    November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50848/psn-pdf
    January 29, 2020 - Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. Report No. 19-00468-67. https://psnet.ahrq.gov/issue/deficiencies-care-co…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44664/psn-pdf
    May 30, 2016 - Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. May 30, 2016 Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10.4187/respcare.04151. https://psnet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837901/psn-pdf
    August 24, 2022 - Trial and error: learning from malpractice claims in childhood surgery. August 24, 2022 Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. https://psnet.ahrq.gov/issue/trial-and-error-learning-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74102/psn-pdf
    January 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39088/psn-pdf
    September 01, 2015 - Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. September 1, 2015 Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medica…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41423/psn-pdf
    January 03, 2017 - Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. January 3, 2017 Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure through an anesthesia information man…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866728/psn-pdf
    September 18, 2024 - ROI for a fall prevention intervention: invest a little, save a lot. September 18, 2024 Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248- 252. doi:10.1097/naq.0000000000000647. https://psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46047/psn-pdf
    May 17, 2017 - Medicare failed to investigate suspicious infection cases from 96 hospitals. May 17, 2017 Jewett C. Kaiser Health News. May 9, 2017. https://psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals The Centers for Medicare and Medicaid Services decision to withhold payment for certa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43665/psn-pdf
    November 20, 2015 - Patient safety education to change medical students' attitudes and sense of responsibility. November 20, 2015 Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970988. https://psnet.ahrq.gov/is…
  13. www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
    January 01, 2024 - engagement strategies.13-20 Importantly, the overwhelming majority of prior research studies have evaluated … mutually reinforcing components of a redesigned clinical microsystem and should be implemented and evaluated
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables14-17.pdf
    June 02, 2025 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 14-17 Table 14. Mean (Standard Deviation) Proportion in Racial Groups within Sampled ZIP Codes of Residence‡ Sampled Group Description American Indian or Alaska…
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.pdf
    June 02, 2025 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 1-9 Table 1 [=IMG1]: Codes to Identify Neuroimaging in Administrative Claims Imaging Modality Code Type Codes Computerized Tomography (CT) of Brain/Head Revenue (UB-92) 350, …
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables11-13.pdf
    June 02, 2025 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 11-13 Table 11[=IMG11]: Signs and Symptoms of Increased Intracranial Pressure or Herniation GENERAL DIAGNOSIS DIAGNOSIS DETAIL ICD-9-CM CODE Pupillary function Anisocoria 379.4…
  17. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp6.pdf
    May 01, 2013 - Volume 6. Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Citation Analysis Technical Review 17 Nutritional Research Series Volume 6: Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An…
  18. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-participant-generated-registries-guide-3rd-ed-addendum-white-paper.pdf
    February 01, 2018 - Research White Paper Patient- or Participant-Generated Registries Addendum Registries for Evaluating Patient Outcomes Third Edition Research White Paper Patient- or Participant-Generated Registries Research White Paper Patient- or Participant-Generated Registries Addendum to Regis…
  19. effectivehealthcare.ahrq.gov/products/cancer-registry-pet/abstract
  20. effectivehealthcare.ahrq.gov/products/collections/evaluates-telehealth