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  1. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

    psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

  2. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
    September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…

  3. Using risk stratification to reduce medical errors in cervical cancer prevention. | PSNet

    psnet.ahrq.gov/issue/using-risk-stratification-reduce-medical-errors-cervical-cancer-prevention
    September 05, 2012 - Commentary Using risk stratification to reduce medical errors in cervical cancer prevention. Citation Text: Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed…

  4. Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a remote hybrid suite compared with the operating room. | PSNet

    psnet.ahrq.gov/issue/anaesthesia-clinicians-perception-safety-workload-anxiety-and-stress-remote-hybrid-suite
    March 20, 2024 - Study Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a remote hybrid suite compared with the operating room. Citation Text: Schroeck H, Whitty MA, Martinez-Camblor P, et al. Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a r…

  5. Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. | PSNet

    psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
    July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…

  6. 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…

  7. Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

    psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
    April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…

  8. 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…

  9. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. | PSNet

    psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
    March 11, 2020 - Study Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. Citation Text: Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…

  10. Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. | PSNet

    psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
    August 28, 2013 - Review Emerging Classic Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. Citation Text: Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…

  11. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
    March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…

  12. Improving Pediatric Donor Heart Utilization with Predictive Analytics | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-donor-heart-utilization-predictive-analytics
    September 30, 2024 - Improving Pediatric Donor Heart Utilization with Predictive Analytics Project Description Integrating predictive risk models and decision aids for clinicians to assess the likelihood of successful pediatric heart transplants in real-time can reduce waitlist mortality, lower don…

  13. The safety of inpatient health care. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-health-care
    May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  14. Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet

    psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
    June 15, 2016 - Study Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. Citation Text: Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…

  15. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…

  16. Patient Health Questionnaire (PHQ-9) (pdf file)

    integrationacademy.ahrq.gov/sites/default/files/2020-07/PHQ-9.pdf
    January 01, 2020 - Patient Health Questionnaire (PHQ-9) PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? (use "ⁿ" to indicate your answer) Not at all Several days More than half the days Nearly every day 1. Little interest…

  17. Safety for home care: the use of internet video calls to double-check interventions. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-use-internet-video-calls-double-check-interventions
    August 04, 2021 - Study Safety for home care: the use of internet video calls to double-check interventions. Citation Text: Bradford N, Armfield NR, Young J, et al. Safety for home care: the use of internet video calls to double-check interventions. J Telemed Telecare. 2012;18(8):434-437. doi:10.1258/jtt…

  18. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

    psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
    November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Citation Text: Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253. C…

  19. Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

    psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
    June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

  20. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
    August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…
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