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8361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37435/psn-pdf
      December 18, 2017 - Patient safety in the pediatric emergency care setting. December 18, 2017 Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375. https://psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting This polic…

8362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37766/psn-pdf
      October 22, 2013 - Diagnostic Error: Is Overconfidence the Problem. October 22, 2013 Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.     https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem This issue supplement focuses on diagnostic errors and diagnostic decision making, how physician over…

8363. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42148/psn-pdf
      March 27, 2013 - Healing the hospital hierarchy. March 27, 2013 Brown T. New York Times. March 17, 2013:SR5. https://psnet.ahrq.gov/issue/healing-hospital-hierarchy This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior can influence health care delivery and patient safety. https:/…

8364. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…

8365. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
      January 01, 2024 - Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Carl A. Sirio, MD Principal Investigator Team Members: Robert Weber, RPh, MS, Co-Investigator Wishwa Kapoor, MD, Co-Investigator Mark Roberts, MD, MRP, Co-…

8366. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
      December 01, 2017 - CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles Slide Presentation Slide 1 CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles Diane Byrum, RN, MSN, CCRN, CCNS, FCCM Manager, Quality I…

8367. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …

8368. Research Methods for Studying the Primary Care Workforce: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
      August 01, 2024 - Research Methods for Studying the Primary Care Workforce: Slide Presentation National Center for Excellence in Primary Care Research Presents Research Methods for Studying the Primary Care Workforce May 2, 2024 Presented by: Hannah Neprash, PhD Lawrence P. Casalino, MD, PhD Sylvia Hysong, PhD Moderated by: …

8369. Safety I, Safety II, and the New Views of Safety | PSNet
      psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
      October 02, 2024 - Safety I, Safety II, and the New Views of Safety Citation Text: Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX E…

8370. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events ORIGINAL ARTICLE Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events Andrea Bradford, PhD,*† U…

8371. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative David R. West, PhD; Wilson D. Pace, MD; L. Miriam Dickinson, PhD; Daniel M. H…

8372. In Conversation With… Robert Hirschtick, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
      January 01, 2018 - In Conversation With… Robert Hirschtick, MD January 1, 2018  Also Read an Essay Citation Text: In Conversation With… Robert Hirschtick, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

8373. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis References Previous Page   Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic Stewards…

8374. AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
      September 26, 2019 - AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Slides AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions Presented by: Moderated by: Anuj K. Dalal, MD, SFHM David T. Liss, PhD Sharon Hewner, PhD, RN, FAAN Commander Derri…

8375. Health Information Technoloy in Heart Failure Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k08hs023683-blecker-final-report-2018.pdf
      January 01, 2018 - Health Information Technoloy in Heart Failure Care - Final Report Health Information Technology in Heart Failure Care PI: Saul Blecker, MD, MHS NYU School of Medicine Dates of Study: 9/30/14-9/29/18 This work was supported by Agency for Healthcare Qu…

8376. F-SvcProc-User-Guide-v2022-1 (pdf file)
      hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-User-Guide-v2022-1.pdf
      May 01, 2022 - F-SvcProc-User-Guide-v2022-1 USER GUIDE: SURGERY FLAG SOFTWARE FOR SERVICES AND PROCEDURES, v2022.1 Issued May 2022 Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project (HCUP) Phone: (866) 290-HCUP (4287) Email: hcup@ahrq.gov Website: www.hcup-us.ahrq.gov mailto:hcup@ahrq…

8377. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative 153 Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative Carl A. Sirio, Donna J. Keyser, Heidi Norman, Robert J. We…

8378. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
      June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science References Previous Page   Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement: Overcoming …

8379. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…

8380. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Citation Text: McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…