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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45148/psn-pdf
    April 24, 2018 - ://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center Overlapping surgery refers

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46672/psn-pdf
    January 30, 2018 - elevated-mortality-among-weekend-hospital-admissions-not-associated- adoption-seven-day The weekend effect refers

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34769/psn-pdf
    March 28, 2005 - Vaughan refers to this second tendency as the “normalization of deviance,” a phenomenon that shares

  4. What are "patient safety activities"? | PSO

    pso.ahrq.gov/faq/what-are-patient-safety-activities
    the provision of feedback to participants in a patient safety evaluation system The term "safety" refers

  5. Second victims and mindfulness: a systematic review. | PSNet

    psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
    July 22, 2020 - The second victim effect refers to the emotional distress health care providers may experience after

  6. A scoping review of the hidden curriculum in pharmacy education. | PSNet

    psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
    November 16, 2022 - In medical education , the “ hidden curriculum ” refers to the influence of offhand comments, behaviors

  7. The weekend effect in hospitalized patients: a meta-analysis. | PSNet

    psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
    September 23, 2020 - The weekend effect refers to worse patient outcomes outside of usual business hours.

  8. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet

    psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
    September 04, 2024 - Digital maturity in healthcare refers to how well hospitals use digital systems to improve patient

  9. The Case for Cardiac Rehabilitation | Agency for Healthcare Research and Quality

    www.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
    December 01, 2022 - referral patterns, the absence of an electronic health record system in hospitals that automatically refers

  10. Pediatric Developmental Screening Flowchart (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VA.pdf
    August 22, 2014 - concerns with parents • Performs futher more specific medical & developmental assessment and/or refers

  11. Final Research Plan: Anxiety in Children and Adolescents: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-anxiety-children-adolescents
    March 29, 2022 - the USPSTF edited the key questions to remove the qualifier “increased risk of suicide” and instead refers … In response, we revised CQ 2 to clarify that the term “minimal clinically important differences” refers … CQ 5 as being limited to evidence-based treatments and clarified that engagement with care in CQ 6 refers

  12. Final Research Plan: Depression and Suicide Risk in Children and Adolescents: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-depression-suicide-risk-children-adolescents
    August 13, 2020 - the USPSTF edited the key questions to remove the qualifier “increased risk of suicide” and instead refers … In response, we revised CQ 2 to clarify that the term “minimal clinically important differences” refers … CQ 5 as being limited to evidence-based treatments and clarified that engagement with care in CQ 6 refers

  13. Patient Safety Research Summaries | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/research-summaries/index.html
    August 01, 2025 - Healthcare Safety by Enhancing Medication Safety (updated August 2025) (PDF, 1 MB): Medication safety refers

  14. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
    April 01, 2025 - Events, Diagnostic Adverse Events Defined under the Safety Paradigm section above, adverse event refers … A patient might suggest that efficiency refers to ease, such as coordination of appointments and tests

  15. Improving Electronic Health Records Patient Education Materials - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2011
    January 01, 2011 - Project Period July 2010 - July 2013 AHRQ Funding Amount $524,945 Summary: Health literacy refers

  16. Appendix V (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2b.html
    June 01, 2010 - In addition, elderly/disabled tool refers only to theft by direct care staff; brain injury and mental … In addition, elderly/disabled tool refers only to verbal abuse by direct care staff; brain injury and … In addition, elderly/disabled tool refers only to injury caused by direct care staff; brain injury and

  17. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
    May 30, 2019 - The title refers to the disastrous death of a patient due to a design flaw in the radiotherapy accelerator

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40405/psn-pdf
    February 10, 2015 - In this context, the social cost refers to the economic costs associated with lives lost or injuries

  19. Quantitative Synthesis II: Interactive Quiz (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/selecting-evidence-quiz.ppt
    May 29, 2025 - Detection bias refers to systematic differences in outcome assessments among comparison groups. … Attrition bias refers to systematic differences among comparison groups in the loss of participants from

  20. Quantitative Synthesis II: Interactive Quiz (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/selecting-evidence-quiz.ppt
    May 29, 2025 - Detection bias refers to systematic differences in outcome assessments among comparison groups. … Attrition bias refers to systematic differences among comparison groups in the loss of participants from
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