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  1. Creating champions for health care quality and safety. | PSNet

    psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
    August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

  2. Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

    psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
    September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

  3. The next step in learning from sentinel events in healthcare. | PSNet

    psnet.ahrq.gov/issue/next-step-learning-sentinel-events-healthcare
    June 12, 2024 - Commentary The next step in learning from sentinel events in healthcare. Citation Text: Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. Copy Citation Format: …

  4. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet

    psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
    August 20, 2018 - Study Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. Citation Text: Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…

  5. Clinical oversight: conceptualizing the relationship between supervision and safety. | PSNet

    psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
    June 23, 2010 - Study Clinical oversight: conceptualizing the relationship between supervision and safety. Citation Text: Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. Copy Citation …

  6. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

    psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations
    March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

  7. Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
    May 06, 2009 - Study Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. Citation Text: Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteri…

  8. Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
    July 29, 2020 - Study Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. Citation Text: Rich A, Viney R, Griffin A. Understanding the factors influencing doctors' intentions to report patient safety concerns: a qualitative study. J R Soc Med…

  9. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? | PSNet

    psnet.ahrq.gov/issue/does-compliance-patient-safety-tasks-improve-and-sustain-when-radiotherapy-treatment
    December 05, 2018 - Study Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Citation Text: Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardize…

  10. The effect of workload on infection risk in critically ill patients. | PSNet

    psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
    March 02, 2011 - Study Classic The effect of workload on infection risk in critically ill patients. Citation Text: Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81. Copy Citation For…

  11. Correlates of diagnostic accuracy in patients with nonspecific complaints. | PSNet

    psnet.ahrq.gov/issue/correlates-diagnostic-accuracy-patients-nonspecific-complaints
    August 18, 2021 - Study Correlates of diagnostic accuracy in patients with nonspecific complaints. Citation Text: Hertwig R, Meier N, Nickel C, et al. Correlates of diagnostic accuracy in patients with nonspecific complaints. Med Decis Making. 2013;33(4):533-43. doi:10.1177/0272989X12470975. Copy Cita…

  12. Improving resident physician participation in reporting patient safety and quality concerns. | PSNet

    psnet.ahrq.gov/issue/improving-resident-physician-participation-reporting-patient-safety-and-quality-concerns
    May 18, 2022 - Study Improving resident physician participation in reporting patient safety and quality concerns. Citation Text: Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.…

  13. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
    November 10, 2021 - Study Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. Citation Text: Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read…

  14. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response
    November 03, 2015 - Study Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. Citation Text: Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 202…

  15. Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
    January 23, 2019 - Study Medication administration errors in nursing homes using an automated medication dispensing system. Citation Text: van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…

  16. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. | PSNet

    psnet.ahrq.gov/issue/has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired-infections-among
    July 10, 2024 - Study Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. Citation Text: DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…

  17. AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/input-strategic-framework-pcortf.html
    March 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments MAR 3 2022 By Karin Rhodes, M.D., M.S., and David Meyers, M.D. Karin Rhodes, M.D., M.S. AHRQ’s updated request for inform…

  18. The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

    psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
    March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

  19. The business case for quality: case studies and an analysis. | PSNet

    psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
    February 23, 2019 - Study Classic The business case for quality: case studies and an analysis. Citation Text: Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. Copy Citation Format: …

  20. Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet

    psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
    February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…
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