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4081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47195/psn-pdf
      September 12, 2018 - Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. September 12, 2018 Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter- hospital transfer outcomes: a population study. J Gen Intern Med. 2018;33(9):1447-145…

4082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849602/psn-pdf
      May 31, 2023 - Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care. May 31, 2023 Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal com…

4083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850159/psn-pdf
      June 07, 2023 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. June 7, 2023 Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. JAMA Netw Open. 2023;6(5):e231…

4084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48064/psn-pdf
      June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…

4085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47618/psn-pdf
      January 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care…

4086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848812/psn-pdf
      May 10, 2023 - Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. May 10, 2023 Baffoe JO, Moczygemba LR, Brown CM. Perceived discrimination in the community pharmacy: a cross- sectional, national survey of adults. J Am Pharm Assoc (2003). 2023;63(2):518-528. doi:10.1016/j.japh.2022.…

4087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50576/psn-pdf
      October 23, 2019 - Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. October 23, 2019 Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a frequent sou…

4088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838919/psn-pdf
      January 01, 2024 - Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. October 26, 2022 Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:10.1136/bmjqs-2022-015314. https…

4089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843320/psn-pdf
      February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023 Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…

4090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47590/psn-pdf
      February 20, 2019 - Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. February 20, 2019 Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality improvement intervention: …

4091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866402/psn-pdf
      July 31, 2024 - GPT versus resident physicians — a benchmark based on official board scores. July 31, 2024 Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192. https://psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benc…

4092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34735/psn-pdf
      June 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. June 16, 2014 Donaldson L. London, UK: The Stationery Office, 2000. https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-ch…

4093. Barrette, Eric | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/barrette-eric
      January 01, 2023 - Barrette, Eric The impact of health information technology on demand for hospital inpatient services [dissertation]. Citation Barrette, EG. The impact of health information technology on demand for hospital inpatient services [dissertation]. Minneapolis: University of Minnesot…

4094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867591/psn-pdf
      January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…

4095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60045/psn-pdf
      March 18, 2020 - Making Healthcare Safer III. March 18, 2020 Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. https://psnet.ahrq.gov/issue/making-healthcare-safer-iii This newly issued follow up to the seminal AHRQ Making Health Care Safer rep…

4096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46588/psn-pdf
      February 28, 2018 - The relationship between resident burnout and safety- related and acceptability-related quality of healthcare: a systematic literature review. February 28, 2018 Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systema…

4097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44246/psn-pdf
      November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…

4098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44117/psn-pdf
      December 04, 2016 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. December 4, 2016 Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33. doi:10.1007…

4099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47193/psn-pdf
      September 05, 2018 - Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. September 5, 2018 Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care; a narrative review. Saf Health. 2018;4(7). doi:10…

4100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847543/psn-pdf
      April 12, 2023 - What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. April 12, 2023 Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022- 0…