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  1. Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. | PSNet

    psnet.ahrq.gov/issue/physician-scores-national-clinical-skills-examination-predictors-complaints-medical
    October 16, 2019 - Study Classic Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. Citation Text: Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination as …

  2. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
    December 11, 2024 - Study Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…

  3. Drug-related problems among older people with dementia: a systematic review. | PSNet

    psnet.ahrq.gov/issue/drug-related-problems-among-older-people-dementia-systematic-review
    January 12, 2022 - Review Drug-related problems among older people with dementia: a systematic review. Citation Text: Xue Qin QN, Ming LC, Abd Wahab MS, et al. Drug-related problems among older people with dementia: a systematic review. Res Social Adm Pharm. 2023;19(6):873-881. doi:10.1016/j.sapharm.2023.0…

  4. Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. | PSNet

    psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
    November 16, 2022 - Commentary Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. Citation Text: Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…

  5. Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. | PSNet

    psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration
    April 24, 2018 - Organizational Policy/Guidelines Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. Citation Text: Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…

  6. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet

    psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
    December 09, 2020 - Study Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Citation Text: Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…

  7. 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;…

  8. Nurse leader perspectives and experiences on caregiver support following a serious medical error. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error
    March 06, 2024 - Study Nurse leader perspectives and experiences on caregiver support following a serious medical error. Citation Text: Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:…

  9. The association between nurse staffing and omissions in nursing care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic-review
    July 19, 2019 - Review Classic The association between nurse staffing and omissions in nursing care: a systematic review. Citation Text: Griffiths P, Recio-Saucedo A, Dall'Ora C, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J…

  10. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
    October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

  11. Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

    psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net
    September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

  12. Nurse staffing and inpatient hospital mortality. | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
    June 22, 2022 - Study Classic Nurse staffing and inpatient hospital mortality. Citation Text: Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. Copy Citation Fo…

  13. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet

    psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
    November 29, 2023 - Book/Report Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. Citation Text: Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …

  14. Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

    psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
    December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

  15. Incidence, patterns, and prevention of wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
    September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…

  16. Common general surgical never events: analysis of NHS England never event data. | PSNet

    psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
    April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

  17. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
    October 06, 2021 - Study Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. Citation Text: Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…

  18. Plain Language at AHRQ | Agency for Healthcare Research and Quality

    www.ahrq.gov/policy/electronic/plain-writing/index.html
    September 01, 2024 - Plain Language at AHRQ The Plain Writing Act of 2010 requires federal agencies to write clear Government communication that the public can understand and use. This page explains what plain language is and how the Agency for Healthcare Research and Quality (AHRQ) is implementing the Act. What is Plain Language…

  19. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
    May 12, 2021 - Study A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. Citation Text: Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…

  20. HCUP-US Tools and Software Page CCS-Services and Procedures

    hcup-us.ahrq.gov/toolssoftware/ccs_svcsproc/ccssvcproc.jsp
    May 01, 2021 - The Clinical Classifications Software for Services and Procedures (CCS-Services and Procedures) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP) , a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality. …
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