-
psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
May 18, 2022 - Study
Do physicians know when their diagnoses are correct? Implications for decision support and error reduction.
Citation Text:
Friedman CP, Gatti GG, Franz TM, et al. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Int…
-
psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
April 29, 2020 - Study
Failure to notify reportable test results: significance in medical malpractice.
Citation Text:
Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…
-
psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
May 18, 2022 - Study
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care.
Citation Text:
Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…
-
psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Commentary
Classic
Risk mitigation in large scale systems: lessons from high reliability organizations.
Citation Text:
Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…
-
psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - Study
Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program.
Citation Text:
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…
-
psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - Review
Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review.
Citation Text:
Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…
-
psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
April 24, 2018 - Commentary
Tolerating uncertainty—the next medical revolution?
Citation Text:
Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med. 2016;375(18):1713-1715.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
-
psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and Opioid Stewardship
February 10, 2025
Agenda
2
• Logistics
• Introduction to the Making Healthcare Safer (MHS) IV Reports
• Report 1 – Rapid Response Systems
► Discussion
► PSNet Resources
• Report 2 – Opioid …
-
psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Study
Support from hospital to home for elders: a randomized trial.
Citation Text:
Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094.
Copy Citation
Format:
DOI Google…
-
psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - Slideset
Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.
Citation Text:
Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) pat…
-
psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
-
psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - Book/Report
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.
Citation Text:
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
Copy Citation
Save
…
-
psnet.ahrq.gov/issue/behavioral-mental-health-toolbox
December 14, 2010 - Toolkit
Behavioral & Mental Health Toolbox.
Citation Text:
Behavioral & Mental Health Toolbox. Center for Health Design. Concord, CA: Center for Health Design; 2018.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
…
-
psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing
September 23, 2020 - Study
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Citation Text:
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…
-
psnet.ahrq.gov/node/37974/psn-pdf
March 04, 2011 - The impact of medical errors on ninety-day costs and
outcomes: an examination of surgical patients.
March 4, 2011
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination
of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x.
…
-
psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief
September 29, 2017 - Book/Report
Patient Safety in Ambulatory Settings: Technical Brief.
Citation Text:
Patient Safety in Ambulatory Settings: Technical Brief. Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016.
Copy Citation
Save
…
-
psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
October 17, 2017 - Study
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Citation Text:
Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…
-
psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
July 19, 2023 - Study
Vital signs: maternity care experiences — United States, April 2023.
Citation Text:
Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1.
Copy Citati…
-
psnet.ahrq.gov/issue/comparison-quality-measures-us-hospitals-physician-vs-nonphysician-chief-executive-officers
July 13, 2022 - Study
Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers.
Citation Text:
See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. JAMA Netw Open. 202…