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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37530/psn-pdf
    December 15, 2008 - Do medical inpatients who report poor service quality experience more adverse events and medical errors? December 15, 2008 Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse events and medical errors? Med Care. 2008;46(2):224-228. doi:10.1097…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845277/psn-pdf
    March 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. March 1, 2023 Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Emerg Med. 2022;30(3):187-195. doi:10.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60228/psn-pdf
    April 15, 2020 - How safety is compromised when hospital equipment is a poor fit for patients who are obese. April 15, 2020 Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4. https://psnet.ahrq.gov/issue/how-safety-comp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39800/psn-pdf
    January 19, 2011 - Medication errors in paediatric outpatients. January 19, 2011 Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. https://psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients Pediatric medication errors are common …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47787/psn-pdf
    February 20, 2019 - How to be a very safe maternity unit: an ethnographic study. February 20, 2019 Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035. https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-tables1-3.pdf
    June 02, 2025 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Tables 1-3 Table 1. Documentation of Weight Addressed Table 2: ICD-9 Codes for Weight-Related Comorbidities Description Code Diabetes 250.xx Hyperlipidemia 272.0, 272.1, 272.2, 272.3, 272.4 Hypertension 401 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836953/psn-pdf
    April 20, 2022 - Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. April 20, 2022 Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Jt Comm J Qual Patien…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60635/psn-pdf
    January 01, 2021 - Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review. July 1, 2020 Kuitunen SK, Niittynen I, Airaksinen M, et al. Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals. J Patient Saf. 2021;17(8):e1669-e1680. doi:10.1097/pts.0000000000000688. https://psnet.a…
  9. www.ahrq.gov/patient-safety/reports/engage/next-steps.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Next Steps Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Env…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60185/psn-pdf
    April 01, 2020 - Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. April 1, 2020 Oliva EM, Bowe T, Manhapra A, et al. Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suici…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867084/psn-pdf
    November 06, 2024 - Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. November 6, 2024 Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10916-024-02098-4. https://psnet.a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44609/psn-pdf
    June 21, 2016 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. June 21, 2016 Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60183/psn-pdf
    April 01, 2020 - Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. April 1, 2020 Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders’ perceptions o…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60987/psn-pdf
    October 07, 2020 - Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. October 7, 2020 Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory droplets: a study of patient safety…
  16. digital.ahrq.gov/location/usa-oh-cincinnati
    January 01, 2023 - USA, OH, Cincinnati Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients Description This research prospectively evaluated a machine learning algorithm that identifies candidates for neurologic surgery to control epilepsy. Grant Number R21 HS024977 …
  17. www.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
    February 01, 2025 - AHRQuality Indicators™ Mission The Quality Indicators are measures of health care quality that use readily available hospital inpatient administrative data. AHRQ develops Quality Indicators to provide health care decisionmakers with tools to assess their data. Visit the AHRQuality Indicators™ Web site . Releva…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/111-cusp-learning-from-defects-worksheet.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/111-ss-cusp-lfd-worksheet-a3.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Investigating a Defect Worksheet Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion SurgeriesOwner: ____________________________ Date Defect Occurred: ________________ Date Investigation Initiated: ___________ Use the Learning From …
  20. digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
    January 26, 2006 - will guide the development of an initial Web-based toolkit that supports primary care providers by identifying … We consider that the usability factors outlined above are sufficient for identifying the majority of … Inclusionary criteria for this search were similar to those developed for identifying methods initially … There are several advantages to this technique: it is helpful for identifying rare events; it has high