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  1. The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. | PSNet

    psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
    December 11, 2024 - Study The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. Citation Text: Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Center…

  2. Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. | PSNet

    psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
    April 14, 2021 - Study Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. Citation Text: Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…

  3. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. | PSNet

    psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system
    April 13, 2022 - Study Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Citation Text: Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J…

  4. The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet

    psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
    July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

  5. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Table 4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-table4.pdf
    January 01, 2010 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Table 4 Table 4: Evidence for Follow-up Visits for Children Who Are Overweight Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Expert recommendation The complexity of tre…

  6. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. | PSNet

    psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
    July 14, 2021 - Study Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. Citation Text: Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…

  7. CHIPRA 230: Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
    June 02, 2025 - CHIPRA 230: Technical Specifications 1 The percentage of children, ages 2 through 17 years old, who had documentation of BMI percentile and documentation of weight classification at an outpatient care visit during the measurement year. A higher proportion indicates better performance. This mea…

  8. Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation. | PSNet

    psnet.ahrq.gov/issue/prevalence-error-prone-abbreviations-used-medication-prescribing-hospitalised-patients-multi
    July 06, 2011 - Study Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation. Citation Text: Dooley MJ, Wiseman M, Gu G. Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital …

  9. Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. | PSNet

    psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
    May 29, 2024 - Study Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. Citation Text: Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…

  10. CHIPRA 213: Section 2 Technical Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
    June 02, 2025 - CHIPRA 213: Section 2 Technical Specifications The percentage of children identified as having Sickle Cell Anemia who received anticipatory guidance regarding the risks and benefits of treatment with hydroxyurea as part of outpatient care during the measurement year. A higher proportion indicates b…

  11. Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. | PSNet

    psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
    April 20, 2011 - Study Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. Citation Text: Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …

  12. Defining a high-quality and effective morbidity and mortality conference: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
    September 30, 2012 - Review Defining a high-quality and effective morbidity and mortality conference: a systematic review. Citation Text: Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…

  13. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet

    psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
    July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

  14. Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. | PSNet

    psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records
    September 23, 2020 - Study Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. Citation Text: Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electr…

  15. Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. | PSNet

    psnet.ahrq.gov/issue/healthcare-system-intervention-safer-use-medicines-elderly-patients-primary-care-qualitative
    June 20, 2012 - Study Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. Citation Text: Lenander C, Bondesson Å, Midlöv P, et al. Healthcare…

  16. A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet

    psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
    October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33810/psn-pdf
    June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective June 1, 2016 Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…

  18. Medical negligence in drug associated deaths. | PSNet

    psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
    September 02, 2009 - Study Medical negligence in drug associated deaths. Citation Text: Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014. Copy Citation Format: DOI Google Scholar PubMed BibT…

  19. Community discharge among post-acute nursing home residents: an association with patient safety culture? | PSNet

    psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
    November 04, 2020 - Study Community discharge among post-acute nursing home residents: an association with patient safety culture? Citation Text: Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…

  20. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/association-anesthesiologist-staffing-ratio-surgical-patient-morbidity-and-mortality
    July 06, 2022 - Study Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. Citation Text: Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1…
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