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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47902/psn-pdf
    April 24, 2019 - Recommendations from a national panel on quality improvement in obstetrics. April 24, 2019 Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011. https://psnet.ahrq.gov/issue/r…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838917/psn-pdf
    October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. October 26, 2022 Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083. https:/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47772/psn-pdf
    July 24, 2019 - Variations in surgical safety according to affiliation status with a top-ranked cancer hospital. July 24, 2019 Resio BJ, Hoag JR, Chiu AS, et al. Variations in Surgical Safety According to Affiliation Status With a Top- Ranked Cancer Hospital. JAMA Oncol. 2019;5(9):1359-1362. doi:10.1001/jamaoncol.2019.1808. https…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50882/psn-pdf
    February 12, 2020 - Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study February 12, 2020 Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With Health …

  7. Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
    August 20, 2018 - Study Classic Association of changing hospital readmission rates with mortality rates after hospital discharge. Citation Text: Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …

  8. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. | PSNet

    psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
    December 15, 2011 - Study Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. Citation Text: Rosen AK, Loveland S, Shin MH, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Adminis…

  9. Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/effect-protected-sleep-period-hours-slept-during-extended-overnight-hospital-duty-hours-among
    August 20, 2018 - Study Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial. Citation Text: Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended overnight in-hospital…

  10. Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/unexpectedly-long-hospital-stays-indicator-risk-unsafe-care-exploratory-study
    January 07, 2015 - Study Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. Citation Text: Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865973/psn-pdf
    May 29, 2024 - Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. May 29, 2024 Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive, behavioral…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43219/psn-pdf
    January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38511/psn-pdf
    March 25, 2009 - The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. March 25, 2009 Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009. https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46602/psn-pdf
    February 21, 2018 - Are quality improvement collaboratives effective? A systematic review. February 21, 2018 Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926. https://psnet.ahrq.gov/issue/are-quality-improvement-coll…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44843/psn-pdf
    September 06, 2016 - Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. September 6, 2016 Geneva, Switzerland: World Health Organization; 2015. https://psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens- medication Drug shortages have…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43889/psn-pdf
    February 11, 2015 - Data as a catalyst for change: stories from the frontlines. February 11, 2015 Siegal D, Ruoff G. Data as a catalyst for change: stories from the frontlines. J Healthc Risk Manag. 2015;34(3):18-25. doi:10.1002/jhrm.21161. https://psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines Analysis of malpractice c…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44224/psn-pdf
    June 10, 2015 - To be sued less, doctors should consider talking to patients more. June 10, 2015 Carroll AE. https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and reasons patients file claims, …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852272/psn-pdf
    January 01, 2024 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. August 9, 2023 Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Jt Comm J Qual Patien…

  20. In Conversation With… Erik Hollnagel, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
    February 26, 2025 - In Conversation With… Erik Hollnagel, PhD June 1, 2019  Citation Text: In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Forma…
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