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psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
September 29, 2017 - Commentary
Coupling policymaking with evaluation—the case of the opioid crisis.
Citation Text:
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
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F…
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psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
February 17, 2011 - Study
Evaluation of a redesign initiative in an internal-medicine residency.
Citation Text:
McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136.
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - Study
Preventing mistransfusions: an evaluation of institutional knowledge and a response.
Citation Text:
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…
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psnet.ahrq.gov/node/867528/psn-pdf
January 15, 2025 - Developing and evaluating large language model-
generated emergency medicine handoff notes.
January 15, 2025
Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated
emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723.
doi:10.1001/jamanetworkopen.2024.48723.
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psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble
November 1, 2018
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
The Case
Case #1:
A 34-year-old woman was scheduled for a hysteroscopy under g…
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psnet.ahrq.gov/node/837902/psn-pdf
August 24, 2022 - Development and pilot evaluation of an electronic health
record usability and safety self-assessment tool.
August 24, 2022
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability
and safety self-assessment tool. JAMIA Open. 2022;5(3):ooac070. doi:10.1093/jamiaop…
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psnet.ahrq.gov/node/866344/psn-pdf
January 01, 2025 - Machine learning evaluation of inequities and disparities
associated with nurse sensitive indicator safety events.
July 24, 2024
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities
associated with nurse sensitive indicator safety events. J Nurs Scholarsh. 2025;5…
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psnet.ahrq.gov/node/865816/psn-pdf
May 08, 2024 - The Safe Home Care Intervention Study: implementation
methods and effectiveness evaluation.
May 8, 2024
Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods
and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1177/07334648241246472.
https://psnet…
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psnet.ahrq.gov/node/866527/psn-pdf
August 14, 2024 - Developing, implementing, evaluating electronic apparent
cause analysis across a health care system.
August 14, 2024
Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause
analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736.
doi:10.1016/j…
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psnet.ahrq.gov/node/866952/psn-pdf
October 16, 2024 - Introduction of a novel patient safety advisory: evaluation
of perceived information with a modified QPP
questionnaire-a case-control study.
October 16, 2024
Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of
perceived information with a modified QPP questionn…
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psnet.ahrq.gov/node/50938/psn-pdf
February 26, 2020 - Risks and medication errors analysis to evaluate the
impact of a chemotherapy compounding workflow
management system on cancer patients' safety.
February 26, 2020
Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors
analysis to evaluate the impact of a chemotherapy comp…
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psnet.ahrq.gov/node/47394/psn-pdf
January 27, 2019 - Evaluating the implementation of Project Re-Engineered
Discharge (RED) in five Veterans Health Administration
(VHA) hospitals.
January 27, 2019
Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge
(RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co…
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psnet.ahrq.gov/node/73418/psn-pdf
June 23, 2021 - Evaluation of older persons' medications: a critical
incident technique study exploring healthcare
professionals' experiences and actions.
June 23, 2021
Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals’ experiences a…
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psnet.ahrq.gov/node/72797/psn-pdf
March 03, 2021 - Evaluating the impact of a pharmacist-led prescribing
feedback intervention on prescribing errors in a hospital
setting.
March 3, 2021
Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback
intervention on prescribing errors in a hospital setting. Res Social Adm Pha…
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psnet.ahrq.gov/node/46126/psn-pdf
June 19, 2019 - A guide to evaluation of quality improvement and patient
safety educational programs: lessons from the VA Chief
Resident in Quality and Safety Program.
June 19, 2019
Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety
Educational Programs: Lessons From the VA Ch…
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic
Infant.
January 4, 2024
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
The Case
A 2-month-old full-term male infant was b…
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psnet.ahrq.gov/node/867342/psn-pdf
December 11, 2024 - Does one size fit all? Developing an evaluation strategy to
assess large language models for patient safety event
report analysis.
December 11, 2024
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess
large language models for patient safety event report analysis. …
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psnet.ahrq.gov/node/866242/psn-pdf
July 10, 2024 - Evaluating the prevalence of four recommended practices
for suicide prevention following hospital discharge.
July 10, 2024
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for
suicide prevention following hospital discharge. Jt Comm J Qual Patient Saf. 2024;50(6…
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psnet.ahrq.gov/node/866730/psn-pdf
September 18, 2024 - Strengthening open disclosure in maternity services in
the English NHS: the DISCERN realist evaluation study.
September 18, 2024
Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English
NHS: the DISCERN realist evaluation study. Health Soc Care Deliv Res. 2023;12(22):1-…