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The purpose of the Agency for Healthcare Research and Quality is to enhance the quality, appropriateness, and effectiveness of health services, and access to such services through the establishment of a broad base of scientific research and through the promotion of improvements in clinical and health system practices, including the prevention of diseases and other health conditions.

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47988/psn-pdf
    June 12, 2019 - Impact of the World Health Organization surgical safety checklist on patient safety. June 12, 2019 Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000000002674. https://psnet.ahrq.gov/i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72482/psn-pdf
    November 18, 2020 - Real-time debriefing after critical events: exploring the gap between principle and reality. November 18, 2020 Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003. ht…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44220/psn-pdf
    June 10, 2015 - Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. June 10, 2015 Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. ISBN: 9780826169068. https://psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning- model…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44397/psn-pdf
    September 30, 2015 - Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. September 30, 2015 Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate Prescribing in the Veterans Health Administration. J Am Geriatr Soc. 2015;63(8):1601-7…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  6. psnet.ahrq.gov/issue/diagnostic-error-medicine-14th-international-conference
    March 07, 2022 - United States Meeting/Conference Diagnostic Error in Medicine 14th International Conference. Citation Text: Society to Improve Diagnosis in Medicine. October 25-27, 2021. Copy Citation Save Save to your library Print Share Facebook Twitter …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44165/psn-pdf
    May 27, 2015 - Unplanned return to theater: a quality of care and risk management index? May 27, 2015 Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. https://psnet.ahrq.gov/issue/unplanne…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37617/psn-pdf
    February 03, 2011 - Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. February 3, 2011 Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865677/psn-pdf
    April 24, 2024 - The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. April 24, 2024 Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45542/psn-pdf
    October 05, 2016 - Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. October 5, 2016 Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September 13, 2016. https://psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-resi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72656/psn-pdf
    January 20, 2021 - Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach. January 20, 2021 Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori beliefs in the clinical effectivenes…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44089/psn-pdf
    April 22, 2015 - Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. April 22, 2015 Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.2014.11.004. https://psnet.ahrq.gov/issu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45107/psn-pdf
    May 09, 2017 - Missing clinical and behavioral health data in a large electronic health record (EHR) system. May 9, 2017 Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-1149. doi:10.1093/jamia/ocw021. https:/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50418/psn-pdf
    January 01, 2020 - Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum. September 1, 2019 Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Safety Curriculum. American Journal o…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45529/psn-pdf
    October 11, 2017 - Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. October 11, 2017 Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health system's experience. Am J Surg. 20…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43499/psn-pdf
    September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. September 3, 2014 Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53. doi:10.1097/PTS.0b013e318299…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43040/psn-pdf
    March 05, 2014 - Framework for analysing risk and safety in clinical medicine. March 5, 2014 Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0 This commentary outli…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45152/psn-pdf
    November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…

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