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psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
February 28, 2018 - Measurement Tool/Indicator
Sentinel Event Data Summary. … Citation Text:
Sentinel Event Data Summary. Joint Commission. … This website provides sentinel event data reported to The Joint Commission, which includes information … The data and graphs are updated regularly and include a 10 year trend analysis and specific analysis … Copy URL
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Sentinel Event Data
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psnet.ahrq.gov/issue/annual-speak-data-reports
September 14, 2022 - Multi-use Website
Annual Speak Up Data Reports. … Citation Text:
Annual Speak Up Data Reports. Stratford, London; The National Guardian. … The July 2024 report summarized data collected from over 25,000 cases recorded. … Copy URL
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Annual Speak Up Data
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psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - Study
Mitigating imperfect data validity in administrative data PSIs: a method for … Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse … In an effort to improve accuracy, researchers combined PSI measurement with administrative data, manual … Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse
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psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
September 13, 2023 - Book/Report
NPSD Data Spotlight: Patterns of Fall Interventions. … Citation Text:
NPSD Data Spotlight: Patterns of Fall Interventions. … This Data Spotlight from AHRQ’s Network of Patient Safety Databases (NPSD) highlights the most common … Data for the analysis includes reports on patient safety concerns submitted from 2009 through 2021. … Free full text (PDF)
Related dashboard
Related resource: NPSD Data Spotlight - Falls: Associated
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psnet.ahrq.gov/issue/data-docs
March 02, 2016 - Newspaper/Magazine Article
Data docs.
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Data docs. … Linkedin
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Data
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psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
July 19, 2023 - Commentary
Understanding patient safety and quality outcome data. … Understanding Patient Safety and Quality Outcome Data. … terminology, tools, and skill development tactics to enhance nurses' use and application of outcome data … Understanding Patient Safety and Quality Outcome Data. … March 1, 2023
Hospitals will still have to share safety data publicly—CMS will publish
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psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and
June 15, 2011 - Study
Patient safety indicators for England from hospital administrative data: case-control … analysis and comparison with US data. … Patient safety indicators for England from hospital administrative data: case-control analysis and comparison … with US data. … with US data.
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psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines
July 28, 2023 - Commentary
Data as a catalyst for change: stories from the frontlines. … Data as a catalyst for change: stories from the frontlines. … Ebola in the United States and other diagnostic failures to illustrate how local and comparative data … Data as a catalyst for change: stories from the frontlines. … July 28, 2023
Harnessing the power of medical malpractice data to improve patient care
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psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
January 23, 2017 - Study
Data omission by physician trainees on ICU rounds. … Data Omission by Physician Trainees on ICU Rounds. … Prior research has shown that data is sometimes omitted or inaccurately communicated on rounds. … This observational study compared patient data shared by trainees and medical students on ICU rounds … Data Omission by Physician Trainees on ICU Rounds.
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - /IT infrastructure gaps would create data transparency. … Targeted gaps included the quantity of data collected, missing data, lack of clinical decision support … , and ongoing data literacy staff training would improve staff understanding of the data reports, improve … variability in documentation practices and improve data quality. … They began the process by extracting data from a data warehouse, and then they built the performance
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psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
October 04, 2011 - Study
Determining the safety of office-based surgery: what 10 years of Florida data … and 6 years of Alabama data reveal. … Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama … data reveal. … data reveal.
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - Study
Clinical data sharing improves quality measurement and patient safety. … Clinical data sharing improves quality measurement and patient safety. … The results show that adding HIE data changed 15% of quality measure calculations. … The authors suggest that incorporating HIE data into reimbursement programs could promote more accurate … Clinical data sharing improves quality measurement and patient safety.
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psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
January 23, 2019 - Newspaper/Magazine Article
New York City puts hospital error data online. … Citation Text:
New York City puts hospital error data online. Kershaw S. … This article reports on an initiative to publish data on mortality and hospital-acquired infections in … Cite
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New York City puts hospital error data
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psnet.ahrq.gov/issue/make-hospitals-less-deadly-dose-data
August 13, 2014 - Newspaper/Magazine Article
To make hospitals less deadly, a dose of data. … Citation Text:
To make hospitals less deadly, a dose of data. Rosenberg T. … Highlighting inconsistencies in publicly reported hospital safety data, this newspaper article explains … January 28, 2015
Alarm management: first things first: using reliable data to eliminate … medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data
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psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety
October 29, 2012 - Study
The potential of Twitter as a data source for patient safety. … The Potential of Twitter as a Data Source for Patient Safety. … The authors conclude that Twitter may be a useful data source for obtaining patient perspectives on … The Potential of Twitter as a Data Source for Patient Safety.
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psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis
November 16, 2022 - Study
Leapfrog safety grades in California hospitals: a data analysis. … Leapfrog safety grades in California hospitals: a data analysis. … Using data from the Leapfrog Safety Grade database, this study explores the relationship between hospital … Leapfrog safety grades in California hospitals: a data analysis.
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psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - Study
Medical adverse events in the US 2018 mortality data. … Medical adverse events in the US 2018 mortality data. … This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the United … Medical adverse events in the US 2018 mortality data.
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psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery
March 15, 2023 - Commentary
Using data to enhance performance and improve quality and safety in surgery … Using Data to Enhance Performance and Improve Quality and Safety in Surgery. … adverse events , previously used recording devices have only been able to capture a limited amount of data … describes the development of technology similar to the aviation black box that can collect a rich data … Using Data to Enhance Performance and Improve Quality and Safety in Surgery.
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psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
April 05, 2023 - Study
Correlation between hospital rating agencies' data: an analysis and recommendation … Correlation between hospital rating agencies’ data: An analysis and recommendation. … Using publicly-available data in Connecticut, this study analyzed the comparability of four health care … ratings of these four agencies may lead to consumer confusion about publicly-reported patient safety data … Correlation between hospital rating agencies’ data: An analysis and recommendation.
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psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
June 22, 2022 - Commentary
Surgical data recording technology: a solution to address medical errors … Surgical Data Recording Technology. … Collecting real-time audio, video, and system data enables identification of process vulnerabilities. … Surgical Data Recording Technology. … August 16, 2023
Variability in collection and use of race/ethnicity and language data