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  1. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…

  2. Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review
    March 22, 2023 - Review Clinical nurse competence and its effect on patient safety culture: a systematic review. Citation Text: Zaitoun RA, Said NB, de Tantillo L. Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nurs. 2023;22(1):173. doi:10.1186/s12912-023-013…

  3. A trigger tool to detect harm in pediatric inpatient settings. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatient-settings
    December 07, 2016 - Study Classic A trigger tool to detect harm in pediatric inpatient settings. Citation Text: Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. C…

  4. Development of the CAHPS Health Plan Survey | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/hp/about/Development-CAHPS-HP-Survey.html
    May 01, 2022 - Development of the CAHPS Health Plan Survey AHRQ launched the development of the CAHPS Health Plan Survey in 1995 and released the first version for public use in 1997. Since that time, the CAHPS team has clarified and updated the survey instrument several times to reflect changes in healthcare delivery, survey…

  5. Improving patient safety in intensive care units in Michigan. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
    February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

  6. The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet

    psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
    September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

  7. Safety of surgical telehealth in the outpatient and inpatient setting. | PSNet

    psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
    September 13, 2023 - Review Safety of surgical telehealth in the outpatient and inpatient setting. Citation Text: Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003. Copy Citation Format: …

  8. Trends in adverse event rates in hospitalized patients, 2010-2019. | PSNet

    psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
    June 22, 2022 - Study Trends in adverse event rates in hospitalized patients, 2010-2019. Citation Text: Eldridge N, Wang Y, Metersky M, et al. Trends in adverse event rates in hospitalized patients, 2010-2019. JAMA. 2022;328(2):173-183. doi:10.1001/jama.2022.9600. Copy Citation Format: DOI…

  9. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet

    psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
    November 01, 2017 - Study Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. Citation Text: Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…

  10. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet

    psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
    October 14, 2009 - Study Hospital safety climate and safety outcomes: is there a relationship in the VA? Citation Text: Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. …

  11. Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. | PSNet

    psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate
    August 12, 2020 - Study Classic Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. Citation Text: Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…

  12. High-risk medication errors: insight from the UK National Reporting and Learning System. | PSNet

    psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
    January 12, 2022 - Study High-risk medication errors: insight from the UK National Reporting and Learning System. Citation Text: Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…

  13. Patient-Centered CDS for Postpartum Hypertension Monitoring (pdf file)

    cdsic.ahrq.gov/sites/default/files/2023-02/Real%20World%20PC%20CDS_Patient-Centered%20CDS%20for%20Postpartum%20Hypertension%20Monitoring_508_Jan26.pdf
    January 01, 2023 - Patient-Centered CDS for Postpartum Hypertension Monitoring Patient-Centered CDS for Postpartum Hypertension Monitoring At age 42, Brittany McFarland was excited about her first pregnancy after over a year of trying to conceive. All was going well with the pregnancy until she developed preeclampsia in her third…

  14. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. | PSNet

    psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care
    October 23, 2024 - Study Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Citation Text: Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2…

  15. Making the business case for patient safety. | PSNet

    psnet.ahrq.gov/issue/making-business-case-patient-safety
    March 04, 2011 - Commentary Making the business case for patient safety. Citation Text: Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  16. 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…

  17. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
    October 19, 2022 - Study Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Citation Text: Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for di…

  18. Comments Due September 9 for New CMS Proposed Rule | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/comments-due-september-9-new-cms-proposed-rule
    July 31, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  19. Diagnostic performance dashboards: tracking diagnostic errors using big data. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
    July 28, 2023 - Commentary Diagnostic performance dashboards: tracking diagnostic errors using big data. Citation Text: Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…

  20. Healthcare Cost and Utilization Project (HCUP) KID Notes

    hcup-us.ahrq.gov/db/vars/ds_mrt_level/kidnote.jsp
    September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
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