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psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
July 28, 2023 - Study
Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”.
Citation Text:
Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…
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psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
February 14, 2024 - Study
Classic
Implications of electronic health record downtime: an analysis of patient safety event reports.
Citation Text:
Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…
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psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
March 16, 2022 - Study
A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes.
Citation Text:
Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with mat…
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psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality
July 14, 2009 - Study
Classic
Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.
Citation Text:
Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surg…
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digital.ahrq.gov/ahrq-funded-projects/health-it-enhanced-family-health-history-documentation-management-primary-care/annual-summary/2011
January 01, 2011 - Health IT Enhanced Family Health History Documentation & Management in Primary Care - 2011
Project Name
Health Information Technology Enhanced Family Health History Documentation & Management in Primary Care
Principal Investigator
Haas, Jennifer S.
Organization
Brigham and Wo…
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psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
August 12, 2020 - Study
Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.
Citation Text:
Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…
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psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
June 09, 2021 - Study
Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study.
Citation Text:
Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in the aftermath of a patient …
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psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
October 04, 2023 - Study
Incidence and method of suicide in hospitals in the United States.
Citation Text:
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
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psnet.ahrq.gov/issue/measuring-impact-medication-related-interventions-30-day-readmission-rates-skilled-nursing
July 29, 2020 - Study
Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility.
Citation Text:
Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - Study
Patient characteristics and the occurrence of never events.
Citation Text:
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
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DOI Google Schol…
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psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
June 22, 2022 - Study
'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.
Citation Text:
Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient…
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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www.ahrq.gov/funding/training-grants/grants/active/t32/T32-jhu1.html
October 01, 2014 - Johns Hopkins University, Baltimore
Institutional Training Programs
AHRQ funds 18 institutions which recruit and train predoctoral and/or postdoctoral health services researchers. Details on characteristics of the Johns Hopkins University program and its self-identified areas of research interest are describe…
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study.
Citation Text:
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…
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psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
November 10, 2010 - Study
Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?
Citation Text:
Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation i…
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psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
April 06, 2022 - Study
Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.
Citation Text:
Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of ped…
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psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
September 28, 2016 - Study
Classic
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.
Citation Text:
Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…
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psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
August 10, 2022 - Commentary
Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations.
Citation Text:
Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…
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psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
February 14, 2018 - Study
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.
Citation Text:
Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - Study
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.
Citation Text:
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a common…