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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44960/psn-pdf
    February 14, 2017 - Readmissions, observation, and the Hospital Readmissions Reduction Program. February 14, 2017 Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. doi:10.1056/NEJMsa1513024. https://psnet.ahrq.gov/issue/readmissio…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42474/psn-pdf
    September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836967/psn-pdf
    April 20, 2022 - Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures. April 20, 2022 Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19- related infection prevention measures. World J Surg. 2022;46:1249-1258. doi:10.1007/s0…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44626/psn-pdf
    November 04, 2015 - "SWARMing" to improve patient care: a novel approach to root cause analysis. November 4, 2015 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…

  5. NICU Family Information Packet, Appendix B, Formula Feedings (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-formula.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Formula Feedings Formula Feedings We recommend breastfeeding for all infants when possible. However, when breastfeeding is unavailable or undesired, the following formula recommendations apply. Benefits ■ Premature transitional formulas have higher contents of protein,…

  6. Ventilator-Associated Event Data Collection Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/vae/tool.html
    January 01, 2017 - Ventilator-Associated Event Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Date __________     Month __________     Hospital __________     Unit __________ Use this tool to track your progress in reducing ventilator-associated event (VAE) rates by using this inform…

  7. Background Report on 2013 Retirement of Measures from the Child Core Set | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/measure_retirement/index.html
    February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B. Appendix C. Appendix D…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36577/psn-pdf
    January 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46197/psn-pdf
    September 24, 2017 - Implementation and evaluation of a prototype consumer reporting system for patient safety events. September 24, 2017 Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526. doi:10.1093/…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37942/psn-pdf
    May 04, 2014 - Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. May 4, 2014 Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61061/psn-pdf
    October 28, 2020 - Safer prescribing for hospitalized older adults with an electronic health records?based prescribing context. October 28, 2020 Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72498/psn-pdf
    January 01, 2021 - Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy. November 25, 2020 Bion J, Aldridge CP, Girling AJ, et al. Changes in weekend and weekday care quality of emergency medical admissions to 20 hos…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866081/psn-pdf
    June 05, 2024 - "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. June 5, 2024 Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and p…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41404/psn-pdf
    December 31, 2014 - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. December 31, 2014 Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020 Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805. https://psn…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34688/psn-pdf
    March 28, 2005 - Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 28, 2005 Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6. https://psne…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41572/psn-pdf
    October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. October 29, 2012 Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmjqs-2012-000803. https://psnet.ahrq…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44699/psn-pdf
    December 16, 2015 - Suicide attempts after emergency room visits: the effect of patient safety goals. December 16, 2015 Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38692/psn-pdf
    March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. March 4, 2015 Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. https://psnet.ahrq.gov/issue/errare-humanum-est-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36174/psn-pdf
    September 29, 2010 - Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system. September 29, 2010 Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modification codes as an adverse dr…
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