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  1. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet

    psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
    October 02, 2019 - Study Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Citation Text: Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-…

  2. Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet

    psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
    December 19, 2014 - Study Applying the high reliability health care maturity model to assess hospital performance: a VA case study. Citation Text: Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …

  3. Mobile Health | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/mobile-health
    January 01, 2023 - Mobile Health Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Description This research examines whether remote therapeutic monitoring can improve physic…

  4. Improving Attention Deficit Hyperactivity Disorder Behavioral Care Quality in Community-Based Pediatric Settings | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-adhd-behavioral-care-quality-community-based-pediatric-settings
    January 01, 2023 - Improving Attention Deficit Hyperactivity Disorder Behavioral Care Quality in Community-Based Pediatric Settings Project Final Report ( PDF , 252.17 KB) Disclaimer Disclaimer   The findings and conclusions in this document are those of the author(s), who are responsible for its…

  5. An alternative strategy for studying adverse events in medical care. | PSNet

    psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
    June 03, 2020 - Study Classic An alternative strategy for studying adverse events in medical care. Citation Text: Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13. Copy Citation Fo…

  6. Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

  7. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. | PSNet

    psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting-30-day-risk-after
    July 22, 2020 - Study Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada. Citation Text: Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day ris…

  8. Hand hygiene among physicians: performance, beliefs, and perceptions. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-perceptions
    January 14, 2011 - Study Classic Hand hygiene among physicians: performance, beliefs, and perceptions. Citation Text: Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. Copy Citation …

  9. Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet

    psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis
    June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…

  10. Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet

    psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
    April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…

  11. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. | PSNet

    psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
    November 16, 2022 - Study A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Citation Text: Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;…

  12. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet

    psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
    December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…

  13. Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
    June 14, 2017 - Review Classic Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. Citation Text: Winters BD, Bharmal A, Wilson RF, et…

  14. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet

    psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
    March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

  15. Tools & Resources for Decolonization: Staff Training Materials | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-training-materials.html
    November 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Tools & Resources for Decolonization: Staff Training Materials Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resou…

  16. Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. | PSNet

    psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
    August 26, 2020 - Study Classic Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. Citation Text: van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…

  17. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet

    psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
    October 23, 2013 - Study Classic Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Citation Text: Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…

  18. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
    March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…

  19. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet

    psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
    December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

  20. Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
    February 16, 2022 - Study Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. Citation Text: Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…
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