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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837700/psn-pdf
    July 20, 2022 - Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 2022 Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022- 0…

  2. CHIPRA 230: Section 1, Tables 1-4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-1-tables-1-4.pdf
    June 02, 2025 - CHIPRA 230: Section 1, Tables 1-4 Table 1: Weight Classification Based on BMI Percentile* Classification Percentile Underweight <5th percentile Normal weight 5th to 84th percentile Overweight 85th to 94th percentile Obese ≥95th percentile *Children ages 2 through 17 years old Table 2: Weight Classification B…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35752/psn-pdf
    December 23, 2012 - Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. December 23, 2012 Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Ann Intern Med. 2002;137(5 Part 1):327-333. ht…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864370/psn-pdf
    March 13, 2024 - How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? March 13, 2024 DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72545/psn-pdf
    December 09, 2020 - Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. December 9, 2020 Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/pts.0000000000000560. https://ps…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60188/psn-pdf
    January 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34845/psn-pdf
    June 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. June 30, 2011 Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. In…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73171/psn-pdf
    April 21, 2021 - Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8. https://psnet.ahrq.gov/issu…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836822/psn-pdf
    March 30, 2022 - Leveraging a safety event management system to improve organizational learning and safety culture. March 30, 2022 Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021- 006…

  11. Figure 4-2: Karliner algorithm | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4fig4-2.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 4-2: Karliner algorithm Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Eviden…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74838/psn-pdf
    February 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. February 16, 2022 Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45720/psn-pdf
    April 13, 2017 - Medical morbidity and mortality conferences: past, present and future. April 13, 2017 George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72658/psn-pdf
    January 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35696/psn-pdf
    July 13, 2010 - Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. July 13, 2010 Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Med Care. 2006;44(2):…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839325/psn-pdf
    November 02, 2022 - Human centered design workshops as a meta-solution to diagnostic disparities. November 2, 2022 Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. https://psnet.ahrq.gov/issue/human-cen…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38491/psn-pdf
    January 31, 2011 - Diagnostic errors--The next frontier for patient safety. January 31, 2011 Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety Studies from autopsy dat…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838321/psn-pdf
    October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. October 12, 2022 Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2022. https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44370/psn-pdf
    November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854380/psn-pdf
    October 11, 2023 - Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. October 11, 2023 Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…
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