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  1. The problem with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/problem-root-cause-analysis
    August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  2. Care transition of trauma patients: processes with articulation work before and after handoff. | PSNet

    psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
    June 22, 2022 - Study Care transition of trauma patients: processes with articulation work before and after handoff. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…

  3. U.S. Preventive Services Task Force Issues Final Recommendation Statement on Screening for Speech and Language Delay and Disorders in Children: Task Force determines that more research is needed to recommend for or against screening all children age 5 years and younger (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/speech-language-delay-screening-children-final-rec-bulletin-w-40th-annivlogo.pdf
    January 23, 2024 - U.S. Preventive Services Task Force Issues Final Recommendation Statement on Screening for Speech and Language Delay and Disorders in Children: Task Force determines that more research is needed to recommend for or against screening all children age 5 years and younger www.uspreventiveservicestaskforce.org 1 …

  4. Task Force Issues Final Recommendation Statement on Interventions for High Body Mass Index in Children and Adolescents (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/high-bmi-children-adolescents-final-rec-bulletin.pdf
    June 18, 2024 - Task Force Issues Final Recommendation Statement on Interventions for High Body Mass Index in Children and Adolescents 1 www.uspreventiveservicestaskforce.org Task Force Issues Final Recommendation Statement on Interventions for High Body Mass Index in Children and Adolescents Healthcare professionals s…

  5. Does one size fit all? Assessing the need for organizational second victim support programs. | PSNet

    psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs
    January 14, 2011 - Study Emerging Classic Does one size fit all? Assessing the need for organizational second victim support programs. Citation Text: Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;…

  6. Development of an Electronic Health Record Format for Children | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-electronic-health-record-format-children
    January 01, 2023 - Development of an Electronic Health Record Format for Children Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-09-00023I-3 Funding Mechanism(s) National Resource Center for H…

  7. The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. | PSNet

    psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus
    September 20, 2011 - Study Classic The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Citation Text: Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…

  8. Summary of USPSTF Final Recommendation: Interventions to Prevent Falls in Community-Dwelling Older Adults (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/Xm5_jgUrXXGAJe8WJh_9KK
    June 01, 2024 - Summary of USPSTF Final Recommendation: Interventions to Prevent Falls in Community-Dwelling Older Adults Clinicians Summary of USPSTF Final Recommendation Interventions to Prevent Falls in Community-Dwelling Older Adults June 2024 What does the USPSTF recommend? B Grade …

  9. SID File Composition - Missouri

    hcup-us.ahrq.gov/db/state/siddist/siddist_filecompmo.jsp
    June 01, 2024 - SID File Composition - Missouri An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  10. "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

    psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
    January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…

  11. The application of the Global Trigger Tool: a systematic review. | PSNet

    psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
    December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

  12. High-reliability health care: getting there from here. | PSNet

    psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
    January 23, 2012 - Study Classic High-reliability health care: getting there from here. Citation Text: Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. Copy Citation Format: DOI Go…

  13. Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet

    psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
    September 14, 2022 - Study Developing and aligning a safety event taxonomy for inpatient psychiatry. Citation Text: Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. Copy …

  14. Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. | PSNet

    psnet.ahrq.gov/issue/impact-accreditation-council-graduate-medical-education-work-hour-regulations-neurosurgical
    June 03, 2020 - Study Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. Citation Text: Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour r…

  15. Impact of medical education on patient safety: finding the signal through the noise. | PSNet

    psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise
    December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

  16. Schiff, Gordon David | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/schiff-gordon-david
    January 01, 2023 - Schiff, Gordon David How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. Citation Salazar A, Karmiy SJ, Forsythe KJ, Amato MG, Wright A, Lai KH, Lambert BL, Liebovitz DM, Eguale T, Volk LA, Schiff GD. How often do prescr…

  17. Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

    psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
    February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

  18. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. | PSNet

    psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
    March 11, 2013 - Study Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. Citation Text: Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22…

  19. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. | PSNet

    psnet.ahrq.gov/issue/pharmacy-leadership-amid-pandemic-maintaining-patient-safety-during-uncertain-times
    March 29, 2023 - Commentary Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Citation Text: Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/001857872110…

  20. Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
    April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …
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