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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45192/psn-pdf
    December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842427/psn-pdf
    January 11, 2023 - Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. January 11, 2023 Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further hea…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866442/psn-pdf
    August 07, 2024 - Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. August 7, 2024 Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Breast C…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46065/psn-pdf
    January 01, 2021 - Measurement as a performance driver: the case for a national measurement system to improve patient safety. April 26, 2017 Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134. doi:10.10…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73616/psn-pdf
    August 18, 2021 - Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021 Gangopadhyaya A. Washington DC; Urban Institute: July 2021. https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events- same-hospital Racial inequities h…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47725/psn-pdf
    March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36644/psn-pdf
    July 10, 2008 - Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. July 10, 2008 Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. https://psnet.ahrq.gov/issue/reporting-and-disclos…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72823/psn-pdf
    March 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021 Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37585/psn-pdf
    April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73118/psn-pdf
    April 07, 2021 - Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. April 7, 2021 Shannon EM, Zheng J, Orav EJ, et al. JAMA Network Open. 2021:4(3);e213474. https://psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mort…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837742/psn-pdf
    July 27, 2022 - Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022 Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard recognition among various hospita…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. September 11, 2024 Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50622/psn-pdf
    November 06, 2019 - Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. November 6, 2019 Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J Thorac Cardiovasc Surg. 2019. d…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47347/psn-pdf
    January 01, 2020 - The correlation between neonatal intensive care unit safety culture and quality of care. February 6, 2019 Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0000000000000546. https://psnet.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43927/psn-pdf
    December 04, 2015 - Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. December 4, 2015 Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of care with different resident duty schedules in the …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837066/psn-pdf
    May 11, 2022 - Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. May 11, 2022 Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qual Patient Saf. 2022;48(5):271-279.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863209/psn-pdf
    February 28, 2024 - Emergency department volume and delayed diagnosis of serious pediatric conditions. February 28, 2024 Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatrics.2023.6672. https://psnet.ahr…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73157/psn-pdf
    April 21, 2021 - The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021 Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. doi:10.1080/00140139.2021.1906454.…

  19. CHIPRA 230: Section 1, Tables 1-4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-1-tables-1-4.pdf
    June 02, 2025 - CHIPRA 230: Section 1, Tables 1-4 Table 1: Weight Classification Based on BMI Percentile* Classification Percentile Underweight <5th percentile Normal weight 5th to 84th percentile Overweight 85th to 94th percentile Obese ≥95th percentile *Children ages 2 through 17 years old Table 2: Weight Classification B…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836773/psn-pdf
    March 23, 2022 - Association between operative autonomy of surgical residents and patient outcomes. March 23, 2022 Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444. https://psnet.ahrq.gov/issue/…
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