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2441. The day Joy died. | PSNet
      psnet.ahrq.gov/issue/day-joy-died
      August 20, 2018 - October 27, 2010 Improving hospital systems for the care of women with major obstetric … December 3, 2014 View More Related Resources Fire safety in the … November 23, 2024 Patient falls in the operating room: why is this still a problem in … October 4, 2023 Surgeons' leadership style and team behavior in the hybrid operating … October 4, 2023 Factors causing variation in World Health Organization surgical safety

2442. Table 18F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18f.html
      December 01, 2012 - Pressure Ulcer 6,748 4,003 4,586 5,403 6,035 3,967 6,763 3,893 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2443. Table 18G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
      December 01, 2012 - Pressure Ulcer 5,116 3,763 3,806 4,740 5,358 3,126 5,260 3,679 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2444. Table 18A: National HCBS Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18.html
      December 01, 2012 - Pressure Ulcer 4,443 3,028 3,450 3,527 4,157 2,822 4,392 2,997 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2445. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
      December 01, 2012 - Pressure Ulcer 4,754 3,486 3,908 3,901 4,595 3,208 4,736 3,445 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2446. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
      December 01, 2012 - Pressure Ulcer 1,757 1,227 1,653 1,218 1,537 1,233 1,672 1,232 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2447. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
      December 01, 2012 - Pressure Ulcer 3,464 2,296 2,799 2,580 3,066 2,178 3,313 2,292 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2448. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
      December 01, 2012 - Pressure Ulcer 3,451 1,762 2,142 2,427 2,827 1,758 3,323 1,746 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2449. Setting priorities for patient safety: ethics, accountability, and public engagement. | PSNet
      psnet.ahrq.gov/issue/setting-priorities-patient-safety-ethics-accountability-and-public-engagement
      September 29, 2017 - July 1, 2017 Failure to recognize newly identified aortic dilations in a health care … March 20, 2019 Reversing the rise in maternal mortality. … July 31, 2012 Challenges in ethics, safety, best practices, and oversight regarding HIT … March 4, 2011 The competent surgeon: individual accountability in the era of "systems … March 2, 2011 Medicare nonpayment, hospital falls, and unintended consequences.

2450. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
      July 31, 2013 - Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. … article discusses how the COVID-19 pandemic has impacted nursing care , highlighting implications on hospital-acquired … infections, patient safety events (such as falls and medication errors), and patient mental health … older patients with severe COVID-19 in intensive care unit. … February 2, 2022 Inpatient telemedicine and new models of care during COVID-19: hospital

2451. Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
      March 29, 2010 - Review Computerized physician order entry with clinical decision support in long-term … In analyzing barriers that prevent broad use of  computerized physician order entry (CPOE) in long-term … April 28, 2021 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … May 27, 2011 Year in review: medication mishaps in the elderly.

2452. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
      March 09, 2022 - Review Electronic health record nudges and health care quality and outcomes in primary … This review summarizes the association between EHR nudges and health outcomes in primary care. … hospitals: a descriptive study. … March 24, 2019 Changes in medication safety indicators in England throughout the covid … children and adolescents in outpatient settings: clinical practice guideline.

2453. Data Submission Dashboard (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2024.xlsx
      January 01, 2024 - Data Submission Dashboard Introduction Introduction-Data Submission Summary The tables in … distributions of events and unsafe conditions reported by PSOs using Common Formats for Event Reporting-Hospital … Each worksheet presents the data used to create one of the dashboards in this module. … Each worksheet contains the raw data used to create the figure found in the matching dashboard.

2454. Supporting a psychiatric hospital culture of safety. | PSNet
      psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
      March 11, 2020 - Supporting a psychiatric hospital culture of safety. … Supporting a psychiatric hospital culture of safety. … the hospital setting among Black women in the United States. … hospitals. … acute hospital settings: a scoping review.

2455. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
      August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. … Diffusing aviation innovations in a hospital in The Netherlands. … Diffusing aviation innovations in a hospital in The Netherlands. … acute care hospitals. … June 3, 2009 View More See More About The Topic Specialty Hospitals

2456. Templates for using HL7 v2.5 messages
      hcup-us.ahrq.gov/datainnovations/clinicaldata/TemplatesforusingHL7v2.jsp
      December 02, 2007 - ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights Files NIS Hospital … 1993-2002 Discharge-Level Supplemental Files KID-Trend File Cost-to-Charge Ratio (CCR) Files Hospital … Market Structure (HMS) Files Supplemental Variables for Revisit Analyses American Hospital Association … includes a set of templates for using HL7 v2.5 messages for the exchange of data from participating hospitals … The Zip code falls into the 5 position, hence the leading ˆ above.

2457. Digital Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
      May 01, 2024 - Rasooly Organization: Children's Hospital of Philadelphia; Independent Hospital Uses EHR data- and systems-analysis … Lucero Organization: Brigham and Women’s Hospital Aims to develop a shareable, standards-based fall … Dykes Organization: Brigham and Women’s Hospital; Independent Hospital Develops and tests the effectiveness … of an app to support care transitions between the hospital, home, and primary care clinic to reduce … ; Independent Hospital Develops a Diagnostic Center of Excellence to reduce failures in timely performance

2458. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet
      psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
      March 09, 2022 - Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. … August 5, 2020 Risk-adjusted survival for adults following in-hospital cardiac arrest … March 6, 2024 The complexities of communication at hospital discharge of older patients … older adults with a history of falls: a qualitative study. … during the COVID-19 pandemic in the UK-Qualitative assessment.

2459. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - falls and hip fractures in the hospital. … AHRQ should revisit the large block of denominator exclusions identifying patients at risk for falls … detailed chart review at 48 collaborating hospitals. … A national profile of patient safety in U.S. hospitals. … Patient safety in hospitals in 2004: Toward understanding variation across States.

2460. Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care. | PSNet
      psnet.ahrq.gov/issue/systematic-literature-review-effectiveness-and-safety-paediatric-hospital-home-care
      December 12, 2014 - substitute for hospital care. … The hospital-at-home (HAH) model allows patients to receive hospital-level care in their homes. … review identified 25 articles (18 interventions) comparing outcomes of pediatric HAH care to standard in-hospital … Hospital at home was not associated with increased hospital readmissions or adverse events. … sectional surveys of nurses and patients in 12 countries in Europe and the United States.