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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45615/psn-pdf
    October 26, 2016 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. October 26, 2016 Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. Health Aff (Millwood). 2016;35(10…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45330/psn-pdf
    August 03, 2016 - Association between hospital performance on patient safety and 30-day mortality and unplanned readmission for Medicare fee-for-service patients with acute myocardial infarction. August 3, 2016 Wang Y, Eldridge N, Metersky ML, et al. Association Between Hospital Performance on Patient Safety and 30?Day Mortality a…

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47082/psn-pdf
    July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…

  6. Tool: The Five "Whats" of Diagnostic Reflective Practice (KAICS) | Agency for Healthcare Research and Quality

    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…

  7. 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 …

  8. Implications for Research, Policy, and Practice | Agency for Healthcare Research and Quality

    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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43042/psn-pdf
    December 18, 2014 - Introduction of surgical safety checklists in Ontario, Canada. December 18, 2014 Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa1308261. https://psnet.ahrq.gov/issue/introduction-surgical-safety-ch…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46405/psn-pdf
    October 13, 2018 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. October 13, 2018 Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494. https://ps…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47605/psn-pdf
    January 17, 2019 - Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. January 17, 2019 Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Operating Room: A Follow-up Study Fr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46805/psn-pdf
    September 25, 2018 - Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. September 25, 2018 Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res. 2018;53(5):3855-3880. doi:10…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47948/psn-pdf
    May 29, 2019 - Potential consequences of patient complications for surgeon well-being: a systematic review. May 29, 2019 Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamasurg.2018.5640. https://psnet.ahrq.go…

  14. 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…

  15. CHIPRA 241: Section 2, Technical Specifications (pdf file)

    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…

  16. CHIPRA 240: Section 2, Technical Specifications (pdf file)

    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…

  17. 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…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44976/psn-pdf
    February 14, 2017 - Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. February 14, 2017 Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. BMJ Qual Saf. 2017;26(1):19-23. doi:10.11…

  19. 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…

  20. Resources for Artificial Intelligence (AI) in Healthcare Safety | PSO

    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 …
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