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  1. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate
    December 04, 2015 - Study Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. Citation Text: Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…

  2. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet

    psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
    March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

  3. PowerPoint Presentation (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/Dixie%20Baker1.ppt
    June 16, 2021 - PowerPoint Presentation Public Trust in Health Information: Foundational Principles for Dependable Systems Dixie B. Baker, Ph.D. Vice President for Technology CTO, Enterprise and Infrastructure Solutions Group Presented by Kathleen A. McCormick, Ph.D. Senior Scientist/Vice President SAIC, Health Solutions As Moder…

  4. Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections | Agency for Healthcare Research and Quality

    www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
    November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections Toolkit Effectiveness When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…

  5. Job Aid: Practice Assessments and Surveys (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
    June 02, 2025 - Job Aid: Practice Assessments and Surveys Primary Care Practice Facilitator Training Series 1 Job Aid: Practice Assessments and Surveys Overview Practice assessments and surveys are simple and non-threatening ways for a practice to gather information, generate ideas for improvements, and test and…

  6. Morning handover of on-call issues: opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
    September 26, 2012 - Study Morning handover of on-call issues: opportunities for improvement. Citation Text: Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. Copy Citation Fo…

  7. Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. | PSNet

    psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
    October 30, 2010 - Study Classic Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. Citation Text: Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…

  8. Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

    psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
    November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

  9. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. | PSNet

    psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
    December 09, 2020 - Study Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Citation Text: Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …

  10. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. | PSNet

    psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
    August 27, 2009 - Study The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Citation Text: Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…

  11. A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet

    psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
    February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

  12. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

  13. Office surgery incidents: what seven years of Florida data show us. | PSNet

    psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
    August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…

  14. Implementation and impact of a rapid response team in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
    April 24, 2018 - Study Implementation and impact of a rapid response team in a children's hospital. Citation Text: Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. Copy Citation Fo…

  15. Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? | PSNet

    psnet.ahrq.gov/issue/current-teaching-and-evaluation-methods-critical-care-medicine-has-accreditation-council
    February 23, 2022 - Study Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? Citation Text: Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods…

  16. Development of a multicomponent intervention to decrease racial bias among healthcare staff. | PSNet

    psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
    September 23, 2020 - Study Development of a multicomponent intervention to decrease racial bias among healthcare staff. Citation Text: Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…

  17. Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/baker_crc_screening.pdf
    January 01, 2014 - Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers Research Centers for Excellence in Clinical Preventive Services Working to get the right services, to the right people, at the right time Improving Rates of Repeat Colorectal Cancer Screeni…

  18. Foundations of Diagnosis Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Foundations of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Im…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33653/psn-pdf
    June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007 Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/response-failure-report-march-2007 In response to "Failure to Report" (March 2007) Letter To the editors: Dr. Sp…

  20. Current State of Diagnosis Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Current State of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To …
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