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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35486/psn-pdf
    December 06, 2011 - The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? December 6, 2011 Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Cornell Law Rev. 2005;90(4):893-993.…

  2. The MITRE Corporation | Digital Healthcare Research

    digital.ahrq.gov/organization/mitre-corporation
    January 01, 2023 - The MITRE Corporation Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect Description This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of pub…

  3. AHRQ's Quality & Patient Safety Programs by Setting: Emergency Department | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/emergency-dept/index.html
    July 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Emergency Department Design Guidelines for Trauma Rooms is an evidence-based set of recommendations covering 27 key design elements for trauma room and trauma center design planning. These actionable insights support architects, clinicians, and policymakers …

  4. AHRQ Laboratory Exchange Meeting | Digital Healthcare Research

    digital.ahrq.gov/ahrq-laboratory-exchange-meeting
    January 01, 2023 - AHRQ Laboratory Exchange Meeting Communities across the Nation are developing health information exchange (HIE) initiatives to improve quality of care. Ambulatory care providers treating patients need quick and easy access to a range of medical information, such as medication histories and l…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854375/psn-pdf
    October 11, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. October 11, 2023 Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45662/psn-pdf
    January 23, 2017 - National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. January 23, 2017 Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201. doi:10.1001/j…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42519/psn-pdf
    December 06, 2013 - Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. December 6, 2013 Rock C, Harris AD, Reich NG, et al. Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time?--…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45532/psn-pdf
    September 28, 2016 - Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. September 28, 2016 Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis Clin North Am. 2016;30(3):713-2…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866517/psn-pdf
    August 14, 2024 - Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. August 14, 2024 Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1177/0272989x241248612. https://p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48101/psn-pdf
    August 14, 2019 - Partnering with families and patient advocates: another line of defense in adverse event surveillance. August 14, 2019 ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24. https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event- surveillance Having…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866900/psn-pdf
    October 09, 2024 - Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. October 9, 2024 Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842761/psn-pdf
    January 18, 2023 - Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. January 18, 2023 Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptions of health care quality among…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40513/psn-pdf
    June 08, 2011 - "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. June 8, 2011 Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emerg Med. 2011;57(4):315-322.e1. doi:10…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. October 24, 2018 Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…

  15. TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
    June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit Video Objective To demonstrate each step of SBAR and emphasize the importance of standard communication and use of the tool. TeamSTEPPS Tool or Concept SBAR. Brief Video Descriptio…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44237/psn-pdf
    November 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44580/psn-pdf
    January 13, 2016 - Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. January 13, 2016 Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US Food and Drug Administration; December 15, 2015. https://psnet.ahrq.gov/issue/computeriz…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38470/psn-pdf
    March 11, 2009 - Quality and strength of patient safety climate on medical–surgical units. March 11, 2009 Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. https://psnet.ahrq.gov/issue/quality-and-…

  19. Schnipper, Jeffrey Lawrence | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/schnipper-jeffrey-lawrence
    September 13, 2018 - Schnipper, Jeffrey Lawrence Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report Citation Schnipper J. Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report. (Prepared by Brigham and Women's Hospi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865586/psn-pdf
    April 17, 2024 - Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024 Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic…
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