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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39892/psn-pdf
    September 20, 2011 - How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. September 20, 2011 Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of pro…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44315/psn-pdf
    November 20, 2015 - Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. November 20, 2015 Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A p…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41775/psn-pdf
    December 18, 2014 - Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. December 18, 2014 Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…

  4. Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/finklestein.pdf
    December 19, 2014 - Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination D…

  5. AHRQ Safety Program for Perinatal Care: Am I Ready to Become an Advisor? (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/become-an-advisor.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Am I Ready to Become an Advisor? AHRQ Safety Program for Perinatal Care Am I Ready to Become an Advisor? Are you thinking about becoming a patient and family advisor? Review the checklist below and check those statements with which you agree. If there are statements with which y…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44972/psn-pdf
    February 15, 2017 - The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. February 15, 2017 Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991. doi:…

  8. Ambulatory Surgery Center SOPS: What You Need to Know Webcast (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
    June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast Overview of AHRQ’s Patient Safety Priorities Caren Ginsberg, PhD Director, SOPS and CAHPS Division Center for Quality Improvement and Patient Safety, AHRQ 6 https://www.ahrq.gov/sops AHRQ’s Core Competencies • Research: Invest in research and evid…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846158/psn-pdf
    March 15, 2023 - Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42068/psn-pdf
    April 09, 2013 - Wisdom through adversity: learning and growing in the wake of an error. April 9, 2013 Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39083/psn-pdf
    April 01, 2010 - Emergency physician perceptions of patient safety risks. April 1, 2010 Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020. https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…

  12. Written Statement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-written-statement.pdf
    June 02, 2025 - Written Statement WRITTEN STATEMENT TO: AGENCY FOR HEALTHCARE RESEARCH AND QUALITY FROM: PEDJA TRJC MEASUREMENT CENTER OF EXCELLENCT (PMCoE) SUBJECT: WRITTEN STATEMENT GUARANTEErNG PUBLIC A V All..ABILITY OF PICU MEASURE "rNITIAL BASELINE SCREEN OF NUTRITIONAL STATUS FOR EVERY PATIENT WITHIN 24 HOURS OF PICU …

  13. CHIPRA 212 Table 4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
    May 24, 2016 - CHIPRA 212 Table 4 Table 4: Evidence Supporting ICS at Discharge from an Emergency Department TYPE OF EVIDENCE KEY FINDINGS LEVEL OF EVIDENCE (USPSTF RANKING*) CITATION(S) Clinical guidelines Consider initiating ICS therapy for patients who did not use an ICS prior to the hospital admission. If the d…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38206/psn-pdf
    January 15, 2009 - The medical emergency team system and not-for- resuscitation orders: results from the MERIT Study. January 15, 2009 Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7. doi:10.1016/j.resuscitation.2…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45839/psn-pdf
    February 07, 2018 - Mortality trends after a voluntary checklist-based surgical safety collaborative. February 7, 2018 Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249. https://psnet.ahrq.gov/issu…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37945/psn-pdf
    July 26, 2010 - A survey of hospital quality improvement activities. July 26, 2010 Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Instit…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36105/psn-pdf
    May 27, 2011 - Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. May 27, 2011 Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Pediat…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36530/psn-pdf
    January 07, 2011 - Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. January 7, 2011 Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. https://psnet.ahrq.gov/issue/impact-extended-…

  19. About the PSO Program | PSO

    pso.ahrq.gov/about
    October 01, 2020 - SHARE: More topics in this section About About Organizations and Relationships About the PSO Program A Brief History of the Program The Congress developed and enacted the  Patient Safety and Quality Improvement A…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44382/psn-pdf
    June 21, 2016 - Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' June 21, 2016 Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human'. BMJ Qual Saf. …
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