-
psnet.ahrq.gov/node/36237/psn-pdf
September 12, 2011 - An empirically derived taxonomy of factors affecting
physicians' willingness to disclose medical errors.
September 12, 2011
Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting
physicians’ willingness to disclose medical errors. J Gen Intern Med. 2007;21(9). doi:10.1007/b…
-
psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a
cross-national anaesthesia incident reporting system.
December 18, 2019
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr
experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …
-
psnet.ahrq.gov/node/60713/psn-pdf
July 22, 2020 - Assessment of health information technology-related
outpatient diagnostic delays in the US Veterans Affairs
health care system: a qualitative study of aggregated root
cause analysis data.
July 22, 2020
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information technology-related outpatient
diagnosti…
-
psnet.ahrq.gov/node/60910/psn-pdf
January 01, 2021 - Hospital- and system-wide interventions for health care-
associated infections: a systematic review.
September 16, 2020
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated
infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529…
-
psnet.ahrq.gov/node/72720/psn-pdf
February 10, 2021 - Health system leaders' role in addressing racism: time to
prioritize eliminating health care disparities.
February 10, 2021
Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize
Eliminating Health Care Disparities. Jt Comm J Qual Patient Saf. 2020;47(4):265-267.
doi…
-
psnet.ahrq.gov/node/72471/psn-pdf
November 18, 2020 - Deferral of care for serious non-COVID-19 conditions: a
hidden harm of COVID-19.
November 18, 2020
DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of
COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.4016.
https://psnet.ahrq.gov/issue/def…
-
psnet.ahrq.gov/node/47141/psn-pdf
August 17, 2018 - Association of postoperative readmissions with surgical
quality using a Delphi consensus process to identify
relevant diagnosis codes.
August 17, 2018
Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality
Using a Delphi Consensus Process to Identify Relevant Diagnosi…
-
psnet.ahrq.gov/node/842429/psn-pdf
January 11, 2023 - How timely is diagnosis of lung cancer? Cohort study of
individuals with lung cancer presenting in ambulatory
care in the United States.
January 11, 2023
Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort
study of individuals with lung cancer presenting in ambulator…
-
psnet.ahrq.gov/node/46738/psn-pdf
February 28, 2018 - Safe care for pediatric patients: a scoping review across
multiple health care settings.
February 28, 2018
Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple
Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.1177/0009922817691820.
https://ps…
-
psnet.ahrq.gov/node/865664/psn-pdf
April 24, 2024 - The use of positive deviance approach to improve health
service delivery and quality of care: a scoping review.
April 24, 2024
Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service
delivery and quality of care: a scoping review. BMC Health Serv Res. 2024;24(1):438. doi…
-
psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
-
psnet.ahrq.gov/node/844058/psn-pdf
February 08, 2023 - ISMP updates its list of drug names with tall man (mixed
case) letters based on survey results.
February 8, 2023
ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4.
https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-
results
Look-a…
-
psnet.ahrq.gov/node/865809/psn-pdf
May 08, 2024 - Application of trigger tools for detecting adverse drug
events in older people: a systematic review and meta-
analysis.
May 8, 2024
Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in
older people: a systematic review and meta-analysis. Res Social Adm Pharm.…
-
psnet.ahrq.gov/node/849132/psn-pdf
May 17, 2023 - Qualitative perspectives of emergency nurses on
electronic health record behavioral flags to promote
workplace safety.
May 17, 2023
Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic
health record behavioral flags to promote workplace safety. JAMA Netw Open. 2023;…
-
digital.ahrq.gov/2019-year-review/research-dissemination
January 01, 2019 - Research Dissemination
Dissemination of key research findings from the Digital Healthcare Research Program is critical to the transfer of knowledge and the dissemination of successful digital healthcare knowledge, tools, and strategies that improve patient safety, optimize EHR design, re…
-
psnet.ahrq.gov/node/836824/psn-pdf
March 30, 2022 - Collaborative case review: a systems-based approach to
patient safety event investigation and analysis.
March 30, 2022
Lacson R, Khorasani R, Fiumara K, et al. Collaborative case review: a systems-based approach to patient
safety event investigation and analysis. J Patient Saf. 2022;18(2):e522-e527.
doi:10.1097/pt…
-
psnet.ahrq.gov/node/861771/psn-pdf
January 31, 2024 - The impact of nursing practice environments on patient
safety culture in primary health care: a scoping review.
January 31, 2024
Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on
patient safety culture in primary health care: a scoping review. BJGP Open. 2024;8(1):B…
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Maryland-Medicaid-Diagnoses-Codes-January2024.pdf
January 01, 2024 - SyH-DR Known Data Issue: Maryland Medicaid Diagnosis Codes
AHRQ Publication No. 24-0031-1-EF
January 2024
Synthetic Healthcare Data for Research (SyH-DR) Known
Data Issue: Maryland Medicaid Diagnosis Codes
After the 2015 transition from International Classification of Diseases, Ninth Revision, Clinical
Modifica…
-
digital.ahrq.gov/ahrq-laboratory-exchange-meeting
January 01, 2023 - AHRQ Laboratory Exchange Meeting
Communities across the Nation are developing health information exchange (HIE) initiatives to improve quality of care. Ambulatory care providers treating patients need quick and easy access to a range of medical information, such as medication histories and l…
-
psnet.ahrq.gov/node/837975/psn-pdf
August 31, 2022 - Analyzing and discussing human factors affecting
surgical patient safety using innovative technology:
creating a safer operating culture.
August 31, 2022
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors
affecting surgical patient safety using innovative technology: cre…