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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60046/psn-pdf
    March 18, 2020 - Adverse outcomes of polypharmacy in older people: systematic review of reviews. March 18, 2020 Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022. https://psnet.ahrq.gov/issu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73878/psn-pdf
    September 29, 2021 - Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. September 29, 2021 Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837060/psn-pdf
    May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. J…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35332/psn-pdf
    September 21, 2005 - Are language barriers associated with serious medical events in hospitalized pediatric patients? September 21, 2005 Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575-579. doi:10.1542/peds.2005-0521. https://psnet.ahrq.gov/issue/ar…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73316/psn-pdf
    May 26, 2021 - Racial bias among emergency providers: strategies to mitigate its adverse effects. May 26, 2021 Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352. https://psnet.ahrq.go…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34682/psn-pdf
    February 10, 2011 - Avoiding the unintended consequences of growth in medical care: how might more be worse? February 10, 2011 Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53. https://psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-med…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47595/psn-pdf
    March 06, 2019 - Approaches and Challenges to Electronically Matching Patients' Records Across Providers. March 6, 2019 Washington, DC: United States Government Accountability Office; January 2019. Publication GAO-19-197. https://psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across- provid…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45343/psn-pdf
    August 10, 2016 - Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. August 10, 2016 Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus Nurs. 2016;39(4):235-48. doi:10.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73345/psn-pdf
    June 02, 2021 - An estimate of missed pediatric sepsis in the emergency department. June 2, 2021 Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44181/psn-pdf
    June 03, 2015 - Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. June 3, 2015 Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/bmjqs-2014-003870. https://psnet.ah…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39672/psn-pdf
    December 17, 2010 - Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. December 17, 2010 Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Gerontologist. 2010;50(6)…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44926/psn-pdf
    January 23, 2017 - How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. January 23, 2017 O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study o…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37646/psn-pdf
    April 11, 2011 - Incidence, preventability and consequences of adverse events in older people: results of a retrospective case- note review. April 11, 2011 Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Age Ageing. 2008;37…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43954/psn-pdf
    May 13, 2015 - Training safer surgeons: how do patients view the role of simulation in orthopaedic training? May 13, 2015 Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186/s13037-015-0058-5. https://psnet.a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851650/psn-pdf
    July 26, 2023 - Temporal clustering of critical illness events on medical wards. July 26, 2023 Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629. https://psnet.ahrq.gov/issue/temporal-clustering-critic…

  17. Section 3-A, Tables (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-3-a-tables.pdf
    June 02, 2025 - Section 3-A, Tables Outcome Transfused Not transfused P value Patients 131 109 Average entry Hb 6.9 g/dL 8.1 g/dL < 0.001 Hospital mortality 8 (6.1%) 1 (0.9%) 0.043 Average oxygen days 8.0 ± 10.4 days 4.0 ± 6.6 days < 0.001 Mechanical ventilator days 5.6 ± 9.1 days 2.4 ± 4.1 days 0.002 …

  18. Sustainability Action Plan | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/assessment-tool.html
    March 01, 2017 - Sustainability Action Plan AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The Sustainability Assessment Tool is developed to help you understand what project elements and other factors may influence sustainability. There are two formats to choose from. You may print the handout to write in sco…

  19. Pressure Injury Dashboard | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/data/dashboard/pressure-ulcer.html
    September 01, 2025 - Pressure Injury Dashboard Learn more about how the dashboards are set up . This dashboard details the Pressure Injury Most Advanced Stage, Pressure Injury Residual Patient Harm Level, Extent of Harm by Most Advanced Stage, Contributing Factor, Extent of Harm by Contributing Factor, Documented Skin Inspection o…

  20. Sims, Thomas | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/sims-thomas
    January 01, 2023 - Sims, Thomas Improving Rural Health Care: Implementing Innovative Integration Solutions - Final Report Citation Sims T. Improving Rural Health Care: Implementing Innovative Integration Solutions - Final Report. (Prepared by Mt. Ascutney Hospital and Health Center under Grant…
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