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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
  2. psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
    May 01, 2017 - types of data you choose to use for further analysis will depend on the issues you identified when examining …  Examining and testing alternative changes to improve the process. … Do the same in the examining room. If a patient would undress, you should undress.
  4. effectivehealthcare.ahrq.gov/sites/default/files/pdf/plasma-cell-dyscrasias-sflc-assay-future_research.pdf
    September 01, 2012 - Serum Free Light Chain Analysis for the Diagnosis, Management, and Prognosis of Plasma Cell Dyscrasias: Future Research Needs Future Research Needs Paper Number 23 Serum Free Light Chain Analysis for the Diagnosis, Management, and Prognosis of Plasma Cell Dyscrasias: Future Research Needs Future Research Nee…
  5. www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-fischer.html
    December 01, 2017 - Impact of Medicaid Policy on Cardiovascular Drug Use and Clinical Outcomes Abstract Principal Investigator: Michael A. Fischer, M.D., M.S. Brigham and Women's Hospital Purpose This study evaluated the prevalence and effectiveness of different policy approaches used by State Medicaid programs to manage m…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46068/psn-pdf
    July 09, 2018 - A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. July 9, 2018 Adelman JS, Berger MA, Rai A, et al. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. J Am Med In…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48098/psn-pdf
    July 10, 2019 - How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. July 10, 2019 Salazar A, Karmiy SJ, Forsythe KJ, et al. How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Am J Health Syst Pharm. 2019;76(13):970-97…
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-2-technical-specifications.pdf
    June 02, 2025 - CHIPRA 240: Section 2, Technical Specifications The percentage children with a BMI ≥85th percentile and an outpatient care visit whose parents were surveyed and reported that their provider discussed their child’s weight or body mass index (BMI) in the last 12 months. A higher proportion indicates bett…
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-2-tech-specs.pdf
    June 02, 2025 - CHIPRA 241: Section 2, Technical Specifications The percentage of children aged 2 through 17 years with an outpatient care visit and BMI ≥85 percentile who had documentation of communication of weight classification during the measurement year. A higher proportion indicates better performance. T…
  10. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
    June 01, 2023 - Tool: The Five "Whats" of Diagnostic Reflective Practice (KAICS) The five‐question mnemonic “KAICS” can help develop a reflective mindset and aid in the situation monitoring process. What do I KNOW? Review objective and subjective data given the evidence, possible biases, and assumptions.  What are the A…
  11. www.ahrq.gov/patient-safety/reports/sepsis/index.html
    September 01, 2024 - An Assessment of Sepsis in the United States and Its Burden on Hospital Care Report to Congress Summary In the Fiscal Year 2023 Omnibus Spending Bill, the U.S. Congress directed the Agency for Healthcare Research and Quality (AHRQ) to "conduct a comprehensive set of studies that calculate the morb…
  12. pso.ahrq.gov/resources/ai-healthcare-safety
    February 01, 2025 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Resources for Artificial Intelligence (AI) in …
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-6.html
    August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Implications for Research, Policy, and Practice Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Evidence Base Supporting Te…
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-4.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Factors That Influence Effectiveness of Checklists Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Sp…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43802/psn-pdf
    August 02, 2015 - Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. August 2, 2015 Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45892/psn-pdf
    October 31, 2017 - Relationship between state malpractice environment and quality of health care in the United States. October 31, 2017 Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Saf. 2017;43(5):241-250. doi:10.1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46913/psn-pdf
    May 09, 2018 - Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. May 9, 2018 Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44643/psn-pdf
    July 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43862/psn-pdf
    March 20, 2015 - The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. March 20, 2015 Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. I…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46990/psn-pdf
    July 25, 2018 - Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018 Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by Speech Recognition Software and Professional Transcriptionists. JAMA Netw…