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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839323/psn-pdf
    November 02, 2022 - Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. November 2, 2022 See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621. doi:10.1001/j…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844051/psn-pdf
    February 08, 2023 - Insurance claims for wrong-side, wrong-organ, wrong- procedure, or wrong-person surgical errors: a retrospective study for 10 years. February 8, 2023 Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43651/psn-pdf
    November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. November 18, 2016 Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064. https://psn…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40524/psn-pdf
    March 04, 2019 - Principles of pediatric patient safety: reducing harm due to medical care. March 4, 2019 Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542/peds.2018-3649. https://psnet.ahrq.gov/issue/principles-pedi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46325/psn-pdf
    November 30, 2018 - Physician Burnout. November 30, 2018 Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1- EF. https://psnet.ahrq.gov/issue/physician-burnout Clinician burnout can affect patient safety. This report highlights AHRQ-supported research to examine burnout in health car…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842772/psn-pdf
    January 18, 2023 - Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. January 18, 2023 Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Med. 2022;5(1):179. doi:10.1038/s4…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73120/psn-pdf
    April 07, 2021 - Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. April 7, 2021 Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital- home interface: an observational retrospective study. J Patient Saf. 2021…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48077/psn-pdf
    June 26, 2019 - Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). June 26, 2019 Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work experience in a randomized order safety trial e…

  9. Access to Outpatient Specialty Care for Children | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/measures/access-outpatient-speciality.html
    August 01, 2021 - Access to Outpatient Specialty Care for Children Measure Domain:  Availability of Services Measure Sub-Domain:  Availability of Specialty Services for Children PQMP COE: Q-METRIC Associated NQF # and Name: None. Products: Fact Sheet: None Full Report (PDF, 215 KB) Measure Technical Specification…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50736/psn-pdf
    December 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. December 11, 2019 Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neon…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38323/psn-pdf
    April 27, 2010 - Medication errors among adults and children with cancer in the outpatient setting. April 27, 2010 Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.6072. https://psnet.ahrq.gov/issue/me…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47448/psn-pdf
    October 10, 2018 - Ten principles for more conservative, care-full diagnosis. October 10, 2018 Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468. https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853069/psn-pdf
    August 30, 2023 - Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. August 30, 2023 Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Ann Intern Med. 2023;176(9):1172-1180. doi:10.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841141/psn-pdf
    December 07, 2022 - Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and n…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47838/psn-pdf
    June 02, 2019 - Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. June 2, 2019 Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections: A scoping review of one work syste…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844769/psn-pdf
    January 01, 2020 - Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? September 18, 2019 Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866076/psn-pdf
    June 05, 2024 - Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. June 5, 2024 Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47962/psn-pdf
    May 01, 2019 - Understanding the clinical implications of resident involvement in uncommon operations. May 1, 2019 Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j.jsurg.2019.03.011. https://psnet.a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60593/psn-pdf
    June 17, 2020 - Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. June 17, 2020 Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Health Serv Res. 2020;55(4):512-523. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60645/psn-pdf
    July 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. July 1, 2020 Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011. https://psnet.ah…
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