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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42711/psn-pdf
    October 31, 2014 - Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. October 31, 2014 Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a human factors approach: an observational study in two inten…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42577/psn-pdf
    December 31, 2014 - Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. December 31, 2014 Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records of community medication compa…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38611/psn-pdf
    February 15, 2011 - Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. February 15, 2011 Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45425/psn-pdf
    December 22, 2018 - Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. December 22, 2018 Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing ale…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37327/psn-pdf
    March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. March 3, 2011 Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical pati…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37254/psn-pdf
    January 02, 2017 - Creating a fair and just culture: one institution's path toward organizational change. January 2, 2017 Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. https://psnet.ahrq.gov/issue/creating-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40562/psn-pdf
    July 03, 2014 - Paid malpractice claims for adverse events in inpatient and outpatient settings. July 3, 2014 Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813. https://psnet.ahrq.gov/issue/paid-malpractice-cla…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39822/psn-pdf
    February 17, 2011 - The disclosure dilemma—large-scale adverse events. February 17, 2011 Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134. https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events Error disc…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73121/psn-pdf
    April 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…

  10. Conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-5.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Conclusion Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introductio…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47058/psn-pdf
    August 20, 2018 - The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. August 20, 2018 Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice Competencies Indicates Major Deficit…

  12. CAHPS Cancer Care Supplemental Items (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-access-english-557-1a.docx
    June 02, 2025 - CAHPS Cancer Care Supplemental Items CAHPS® Cancer Care Survey Supplemental Items: Access Population: Adult Supplemental Items for the CAHPS® Cancer Care Survey Topic: Access Population Version: Adult Language: English Users of the CAHPS® Cancer Care Survey are free to incorporate supplemental items in order t…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45190/psn-pdf
    February 15, 2017 - Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. February 15, 2017 Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. BMJ. 2016;353:…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44635/psn-pdf
    June 21, 2016 - Evaluation of perioperative medication errors and adverse drug events. June 21, 2016 Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904. https://psnet.ahrq.gov/issue/evaluation-perioperative-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45483/psn-pdf
    March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. March 20, 2018 Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur Heart J Acute Cardiovasc Care. 20…

  16. AHRQ Research Summit on Improving Diagnosis in Health Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - AHRQ Research Summit on Improving Diagnosis in Health Care Date:  September 28, 2016, 8:30am – 5:00pm Location: Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 Most patients will experience at least one diagnostic error in their lifetime, according to the AHRQ-sponsored…

  17. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
    March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1. General Information 1.1. Background The Agency for Health Care Research and Quality (AHRQ) developed…

  18. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
    January 01, 2024 - time, and use patient reports to develop and implement plans for preventing similar breakdowns from occurring

  19. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
    January 01, 2025 - Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case Proactive Risk Assessment in the ED: Building the Safety Case Principal Investigator: Robert L. Wears, MD, MS Co-investigator Shawna J. Perry, MD Team Members: John Wreathall Rollin (Terry) Fairba…

  20. Surgeries in Hospital-Owned Outpatient Facilities, 2012 #188

    hcup-us.ahrq.gov/reports/statbriefs/sb188-Surgeries-Hospital-Outpatient-Facilities-2012.jsp
    February 01, 2015 - Surgeries in Hospital-Owned Outpatient Facilities, 2012 #188 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …
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