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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43383/psn-pdf
    August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014 Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(2):429-36. doi:10.1016/j.jss.2014…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37946/psn-pdf
    June 10, 2010 - Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? June 10, 2010 Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009;53(…
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0243-section2.pdf
    June 02, 2025 - Overuse of Imaging - Measure 5: Policy for ALARA Specific to Imaging Children The percentage of facilities with a policy for “as low as reasonably achievable” (ALARA), specific to the imaging of children. A higher proportion indicates better performance as reflected by use of minimal radiation when imagi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42884/psn-pdf
    February 06, 2014 - Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. February 6, 2014 Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital workers' real-time explanations for non…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862602/psn-pdf
    February 14, 2024 - Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: a systematic review. February 14, 2024 Naseralallah L, Stewart D, Price M, et al. Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory setti…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846149/psn-pdf
    March 15, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program. March 15, 2023 Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016/j.rcsop.2022.100218. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50748/psn-pdf
    December 18, 2019 - Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients December 18, 2019 Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657. https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73976/psn-pdf
    October 20, 2021 - A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. October 20, 2021 Hofer IS, Cheng D, Grogan T. A retrospective analysis demonstrates that a failure to document key comorbid disea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865666/psn-pdf
    April 24, 2024 - Why do nurses miss nursing care? A qualitative meta- synthesis. April 24, 2024 Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853065/psn-pdf
    August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. August 30, 2023 Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60874/psn-pdf
    September 02, 2020 - A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. September 2, 2020 Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50414/psn-pdf
    September 04, 2019 - Rating the raters: an evaluation of publicly reported hospital quality rating systems. September 4, 2019 Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019. https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems Numerous publicly available …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72636/psn-pdf
    January 13, 2021 - Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float. January 13, 2021 Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float. Diagnosis (Berl).…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72643/psn-pdf
    January 13, 2021 - Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. January 13, 2021 London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.   https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837332/psn-pdf
    June 08, 2022 - Influence of psychological safety and organizational support on the impact of humiliation on trainee well- being. June 8, 2022 Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46107/psn-pdf
    August 16, 2017 - The relationship between patient safety climate and occupational safety climate in healthcare—a multi-level investigation. August 16, 2017 Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational safety climate in healthcare – A multi-level investigation. J Safety Res…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38940/psn-pdf
    November 25, 2009 - The role of advice in medication administration errors in the pediatric ambulatory setting. November 25, 2009 Lemer C, Bates DW, Yoon CS, et al. The role of advice in medication administration errors in the pediatric ambulatory setting. J Patient Saf. 2009;5(3):168-75. doi:10.1097/PTS.0b013e3181b3a9b0. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46939/psn-pdf
    July 23, 2018 - Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. July 23, 2018 Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awareness in US Older Adults. J Gen Intern Med. 2018;33(7):1131-1138. doi:…
  19. digital.ahrq.gov/care-setting/rehabilitation-center
    January 01, 2023 - Rehabilitation Center Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals Description This project engaged individuals with physical, sensory, and cognitive disabilities to expand upon existing consumer mobile health application design guidance for …
  20. PEPTIC ULCER #11 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1512.pdf
    December 01, 2015 - Persistent contamination on colonoscopes and gastroscopes detected by biologic cultures and rapid indicators