-
psnet.ahrq.gov/node/33807/psn-pdf
May 01, 2016 - RW: You've done a lot of research on this issue and found some startling statistics. … Can you highlight some
of the key statistics that gave you an understanding of the breadth and depth
-
psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - In Conversation With… Ann L. Hendrich, RN, PhD
December 1, 2011
Citation Text:
In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Cita…
-
psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - example of this—they happen to every big institution a few times a year but not often enough to make into statistics
-
psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
November 21, 2012 - Study
Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.
Citation Text:
Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…
-
psnet.ahrq.gov/node/867639/psn-pdf
February 26, 2025 - Framing diagnostic error: an epidemiological perspective.
February 26, 2025
Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front
Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750.
https://psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspec…
-
psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - National Center for Health Statistics. Accessed January 11, 2021. … National Center for Health Statistics. Accessed January 11, 2021.
-
psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - The Literature on Health Care Simulation Education: What
Does It Show?
March 1, 2013
Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet].
2013.
https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
Perspective
The education o…
-
psnet.ahrq.gov/node/863754/psn-pdf
March 06, 2024 - The effect of visitation restrictions on ED error.
March 6, 2024
Marks CM, Wolfe RE, Grossman SA. The effect of visitation restrictions on ED error. Intern Emerg Med.
2024;19(5):1425-1430. doi:10.1007/s11739-024-03537-3.
https://psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
At the beginning of the C…
-
psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - Study
Classic
Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.
Citation Text:
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055.
Copy…
-
psnet.ahrq.gov/node/867439/psn-pdf
January 08, 2025 - The good, the bad and the ugly: what do we really do
when we identify the best and the worst organisations?.
January 8, 2025
Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the
best and the worst organisations? BMJ Qual Saf. 2024;34(1):53-61. doi:10.1136/bmjqs-20…
-
psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - of this—they happen to every big
institution a few times a year but not often enough to make into statistics
-
psnet.ahrq.gov/node/867397/psn-pdf
December 18, 2024 - Overview of Methicillin-Resistant Staphylococcus aureus
(MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP
Statistical Brief #315.
December 18, 2024
Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related
Adult Inpatient Stays, 2016–2021. Agency for Healthcare Re…
-
psnet.ahrq.gov/node/72608/psn-pdf
December 23, 2020 - Incidence of Adverse Events in Indian Health Service
Hospitals.
December 23, 2020
Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.
https://psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
Challenges beset safe care delivery for indigenous …
-
psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - In Conversation With… Ann L. Hendrich, RN, PhD
December 1, 2011
In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
Editor's note: Ann L. Hendrich, RN, PhD, is Vice President of Clinical Excellence Operations and
Executive Di…
-
psnet.ahrq.gov/node/36084/psn-pdf
March 01, 2011 - Alarm algorithms in critical care monitoring.
March 1, 2011
Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37.
https://psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
The researchers discuss the ineffectiveness of current clinical monitoring systems an…
-
psnet.ahrq.gov/node/867180/psn-pdf
November 20, 2024 - Medical error: using storytelling and reflection to impact
error response factors in family medicine residents.
November 20, 2024
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response
factors in family medicine residents. J Med Educ Curric Dev. 2024;11:238212…
-
psnet.ahrq.gov/node/867096/psn-pdf
November 06, 2024 - Hospital Differences in Adult Inpatient Stays with
Healthcare-Associated Infections, 2019 and 2021.
November 6, 2024
Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated
Infections, 2019 And 2021. Rockville, MD: Agency for Healthcare Research and Quality; Octo…
-
psnet.ahrq.gov/node/864369/psn-pdf
March 13, 2024 - Telemedicine vs telephone consultations and medication
prescribing errors among referring physicians: a cluster
randomized crossover trial.
March 13, 2024
Marcin JP, Lieng MK, Mouzoon J, et al. Telemedicine vs telephone consultations and medication
prescribing errors among referring physicians: a cluster randomize…
-
psnet.ahrq.gov/node/50861/psn-pdf
February 05, 2020 - Network of Patient Safety Databases Chartbook, 2019
February 5, 2020
Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023.
https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019
AHRQ has released the Network of Patient Safety Databases Chartbook, 2019 w…
-
psnet.ahrq.gov/node/50891/psn-pdf
February 12, 2020 - Nurses as antimicrobial stewards: recognition,
confidence, and organizational factors across nine
hospitals.
February 12, 2020
Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence,
and organizational factors across nine hospitals. Am J Infect Control. 2020. doi:10.1…