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  1. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    July 21, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed COVID-19 Pandemic Impact on Healthcare Associated Conditions  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Sam W…

  2. Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet

    psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
    May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

  3. Medical large language models are vulnerable to data-poisoning attacks. | PSNet

    psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks
    November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

  4. A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
    October 29, 2008 - Study A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. Citation Text: Bowie P, McKay J, Dalgetty E, et al. A qualitative study of why general practitioners may participate in significant event analysis and e…

  5. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Strategy 4: IDEAL Discharge Planning (Tool 3) Improving Discharge Outcomes with Patients and Families Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 3) O Guide to Patient and Family …

  6. Do hospitals provide lower quality care on weekends? | PSNet

    psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
    January 12, 2022 - Study Do hospitals provide lower quality care on weekends? Citation Text: Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  7. The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. | PSNet

    psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
    February 09, 2022 - Study The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. Citation Text: Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…

  8. Why do people sue doctors? A study of patients and relatives taking legal action. | PSNet

    psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
    August 04, 2021 - Study Classic Why do people sue doctors? A study of patients and relatives taking legal action. Citation Text: Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. …

  9. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet

    psnet.ahrq.gov/issue/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
    February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

  10. New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/press-releases/new-national-healthcare-safety-dashboard.html
    December 01, 2024 - New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm Press Release Date: December 5, 2024 Today, the National Action Alliance for Patient and Workforce Safety (NAA) at the U.S. Department of Health and Human Services (HHS) launched the National Healthcare Safety Dashboard ,…

  11. No harm found when nurse anesthetists work without supervision by physicians. | PSNet

    psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
    August 04, 2021 - Study No harm found when nurse anesthetists work without supervision by physicians. Citation Text: Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. Copy Citat…

  12. Management Practices for Sustainability Module 5: Visual Management | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Management Practices for Sustainability Module 5: Visual Management Slide 1: Management Practices for Sustainability Module 5: Visual Management Management Practices for Sustainability Module 5: Visual Management Slide 2: A Frontline Management System To Promote Safety Standard Work Image: This imag…

  13. Table 2: Availability of Selected Medicaid 1915(c) Waiver Home and Community-Based Services, by State, 2005 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab2.html
    March 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 2: Availability of Selected Medicaid 1915(c) Waiver Home and Community-Based Services, by State, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Ava…

  14. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
    October 16, 2019 - Study Day of discharge does not impact hospital readmission after major cardiac surgery. Citation Text: Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…

  15. Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? | PSNet

    psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
    October 23, 2024 - Review Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? Citation Text: Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidit…

  16. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
    January 16, 2019 - Study A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. Citation Text: Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…

  17. Measuring adverse events in hospitalized patients: an administrative method for measuring harm. | PSNet

    psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm
    December 17, 2014 - Study Measuring adverse events in hospitalized patients: an administrative method for measuring harm. Citation Text: Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. d…

  18. Novel telephone-based interactive voice response system for incident reporting. | PSNet

    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

  19. CHIPRA 155: Section 7.C, Socioeconomic Status Table (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-c-table.pdf
    June 30, 2009 - CHIPRA 155: Section 7.C, Socioeconomic Status Table …

  20. Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. | PSNet

    psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
    September 25, 2008 - Study Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. Citation Text: Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…
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