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2901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37380/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. Hosp Pharm. 2007;42(11):982-985. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19 This monthly commentary examines risks associated with mismanagement of IV tubing and ports, discusses a recent article regarding unintended conseque…

2902. Data Submissions Dashboard | Agency for Healthcare Research and Quality
      www.ahrq.gov/npsd/data/dashboard/submissions.html
      September 01, 2024 - Data Submissions Dashboard Learn more about how the dashboards are set up . This dashboard examines all reports on patient safety concerns submitted to the PSOPPC. The dashboard charts detail reports submitted by Common Formats version by year, completeness of reports submitted by version, percentage of repo…

2903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36014/psn-pdf
      September 24, 2010 - Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. September 24, 2010 Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. https://psnet.ahrq.gov/issue/potentially-inappropriate-…

2904. Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/data.html
      Topic: Data AHRQ offers offers robust data sets, including the Healthcare Cost and Utilization Project and the Medical Expenditure Panel Survey, to help healthcare organizations, providers, and others to examine the quality and safety of care as well as access to care. Comp…

2905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36402/psn-pdf
      June 13, 2011 - Medication reconciliation for reducing drug-discrepancy adverse events. June 13, 2011 Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43. https://psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug…

2906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36762/psn-pdf
      August 10, 2011 - Weekend versus weekday admission and mortality from myocardial infarction. August 10, 2011 Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355. https://psnet.ahrq.gov/issue/week…

2907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42496/psn-pdf
      September 18, 2013 - Use of health information technology to reduce diagnostic errors. September 18, 2013 El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. https://psnet.ahrq.gov/issue/use-health-information-technolog…

2908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42876/psn-pdf
      January 22, 2014 - Surgical complications and their implications for surgeons' well-being. January 22, 2014 Pinto A, Faiz O, Bicknell C, et al. Surgical complications and their implications for surgeons' well-being. Br J Surg. 2013;100(13):1748-55. doi:10.1002/bjs.9308. https://psnet.ahrq.gov/issue/surgical-complications-and-their-i…

2909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41576/psn-pdf
      October 11, 2012 - The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. October 11, 2012 May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. doi:10.1016/j.pec.2012.06.024. ht…

2910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43214/psn-pdf
      May 28, 2014 - What a doctor may miss by reaching for the MRI first. May 28, 2014 Boodman SG, Kaiser Health News. Washington Post. May 19, 2014. https://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first This newspaper article reports how lack of competency with performing physical examinations and over- reliance on te…

2911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40123/psn-pdf
      January 12, 2011 - Partners in our care: patient safety from a patient perspective. January 12, 2011 Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. https://psnet.ahrq.gov/issue/partners-our-care-patient-safety…

2912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42952/psn-pdf
      February 19, 2014 - Practices to prevent venous thromboembolism: a brief review. February 19, 2014 Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf. 2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782. https://psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review This revie…

2913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38408/psn-pdf
      February 11, 2009 - Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. February 11, 2009 Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879. https://psnet.ahrq.gov/issue/office-based-anest…

2914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38085/psn-pdf
      September 08, 2010 - Diagnostic errors and temporal stability in bipolar disorder. September 8, 2010 López J, Baca E, Botillo C, et al. [Diagnostic errors and temporal stability in bipolar disorder]. Actas Esp Psiquiatr. 2008;36(4):205-9. https://psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder This stud…

2915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34718/psn-pdf
      August 05, 2008 - How can we save the next victim? August 5, 2008 Belkin L https://psnet.ahrq.gov/issue/how-can-we-save-next-victim In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for medical error toward a model that searches for systems problems and solutions for preventio…

2916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37137/psn-pdf
      October 04, 2011 - Rural hospital patient safety systems implementation in two states. October 4, 2011 Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. https://psnet.ahrq.gov/issue/rural-hospital-patien…

2917. Improving Customer Service and Access in a Surgical Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
      October 01, 2011 - take for improvement. 33 As the quality improvement work matured and the need arose for examining

2918. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
      January 01, 2025 - We did this by carefully examining cases in medical centers connected to HOMERuN.

2919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34604/psn-pdf
      December 24, 2008 - Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. December 24, 2008 Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockville, MD: US Department of Health and Human Services, Agency for Healthcare Research and Quality, 2004 AHRQ publication no 04-0…

2920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38987/psn-pdf
      May 04, 2014 - Disclosing harmful medical errors to patients: tackling three tough cases. May 4, 2014 Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-er…