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psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
August 28, 2024 - Commentary
Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions.
Citation Text:
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
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psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
October 27, 2021 - Book/Report
Diagnostic Errors in the Emergency Department: A Systematic Review.
Citation Text:
Diagnostic Errors in the Emergency Department: A Systematic Review. Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022.&nb…
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psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
October 03, 2011 - Study
Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.
Citation Text:
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Commentary
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.
Citation Text:
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
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psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
January 23, 2017 - Commentary
Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery
Citation Text:
Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…
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psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
July 10, 2008 - Study
Classic
A framework for engaging physicians in quality and safety.
Citation Text:
Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167.
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…
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psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
February 14, 2024 - Study
A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.
Citation Text:
Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…
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psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit
November 21, 2016 - Study
The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study.
Citation Text:
Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical performance in the intensi…
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hcup-us.ahrq.gov/reports/methods/2007_07.pdf
January 01, 2007 - excluding
transfers to another hospital), age 18 and older
IQI 16 Deaths per 1000 admissions with congestive … heart failure (CHF) as principal diagnosis (excluding
obstetric and neonatal admissions and transfers
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2005_SummaryStats_CORE_Weighted.PDF
January 01, 2005 - AMI, W CARD CATH W/O COMPLEX DIAG 229242 0.59
126: ACUTE & SUBACUTE ENDOCARDITIS 12575 0.03
127: HEART … FAILURE & SHOCK 990309 2.53
128: DEEP VEIN THROMBOPHLEBITIS 8241 0.02
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 696551 1.78
107: Cardiac arrest and ventricular fibrillation 15548 0.04
108: Congestive … heart failure, nonhypertensive 1090197 2.78
109: Acute cerebrovascular disease 526147 1.34
110: Occlusion
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - SPOTLIGHT CASE
Lost in Transition
Citation Text:
Beach C. Lost in Transition. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-therapy-management_executive.pdf
November 01, 2014 - CAD = Canadian dollar; CHF = congestive heart failure; CI = confidence interval; COPD = chronic obstructive … failure, and hypertension. … For example,
it is not clear whether one should expect the number
of medications prescribed for heart … failure to increase
or decrease under the careful scrutiny of an MTM
intervention because the desired … failure and 2 addressed patients with either hypertension
or hypertension and diabetes.
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2012_MaskedStats_Core_Weighted.PDF
January 01, 2012 - AMI, W CARD CATH W/O COMPLEX DIAG 153,395 0.42%
126: ACUTE & SUBACUTE ENDOCARDITIS 8,780 0.02%
127: HEART … FAILURE & SHOCK 819,440 2.25%
128: DEEP VEIN THROMBOPHLEBITIS 2,400 0.01%
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 749,285 2.05%
107: Cardiac arrest and ventricular fibrillation 19,945 0.05%
108: Congestive … heart failure; nonhypertensive 875,585 2.40%
109: Acute cerebrovascular disease 575,535 1.58%
110:
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2007_MaskedStats_Core_Weighted.PDF
January 01, 2007 - AMI, W CARD CATH W/O COMPLEX DIAG 215900 0.55
126: ACUTE & SUBACUTE ENDOCARDITIS 12102 0.03
127: HEART … FAILURE & SHOCK 938809 2.37
128: DEEP VEIN THROMBOPHLEBITIS 6331 0.02
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 731468 1.85
107: Cardiac arrest and ventricular fibrillation 16708 0.04
108: Congestive … heart failure; nonhypertensive 1024903 2.59
109: Acute cerebrovascular disease 527266 1.33
110: Occlusion
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/PublicSummaryStats_KID_2006_Core.PDF
January 01, 2006 - EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG 1229 0.04
126: ACUTE & SUBACUTE ENDOCARDITIS 227 0.01
127: HEART … FAILURE & SHOCK 1053 0.03
128: DEEP VEIN THROMBOPHLEBITIS 53 0.00
129: CARDIAC ARREST, UNEXPLAINED … 106: Cardiac dysrhythmias 4456 0.14
107: Cardiac arrest and ventricular fibrillation 224 0.01
108: Congestive … heart failure, nonhypertensive 1312 0.04
109: Acute cerebrovascular disease 1809 0.06
110: Occlusion
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2012_MaskedStats_Core.PDF
January 01, 2012 - EXCEPT AMI, W CARD CATH W/O
COMPLEX DIAG
935 0.03%
126: ACUTE & SUBACUTE ENDOCARDITIS 226 0.01%
127: HEART … FAILURE & SHOCK 987 0.03%
128: DEEP VEIN THROMBOPHLEBITIS 37 0.00%
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 4,744 0.15%
107: Cardiac arrest and ventricular fibrillation 378 0.01%
108: Congestive … heart failure; nonhypertensive 1,398 0.04%
109: Acute cerebrovascular disease 2,158 0.07%
110: Occlusion
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2012_MaskedStats_Core_Weighted.PDF
January 01, 2012 - AMI, W CARD CATH W/O
COMPLEX DIAG
1,341 0.02%
126: ACUTE & SUBACUTE ENDOCARDITIS 318 0.00%
127: HEART … FAILURE & SHOCK 1,406 0.02%
128: DEEP VEIN THROMBOPHLEBITIS 53 0.00%
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 6,679 0.10%
107: Cardiac arrest and ventricular fibrillation 535 0.01%
108: Congestive … heart failure; nonhypertensive 1,997 0.03%
109: Acute cerebrovascular disease 3,045 0.05%
110: Occlusion
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2008_MaskedStats_Core_Weighted.PDF
January 01, 2008 - , W CARD CATH W/O COMPLEX DIAG 216,100 0.54%
126: ACUTE & SUBACUTE ENDOCARDITIS 11,725 0.03%
127: HEART … FAILURE & SHOCK 935,549 2.35%
128: DEEP VEIN THROMBOPHLEBITIS 5,607 0.01%
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 798,451 2.00%
107: Cardiac arrest and ventricular fibrillation 17,097 0.04%
108: Congestive … heart failure; nonhypertensive 1,020,276 2.56%
109: Acute cerebrovascular disease 564,526 1.42%
110
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2006_MaskedStats_Core_Weighted.PDF
January 01, 2006 - for DRG24
DRG24 Frequency
Percent
of
Total
126: ACUTE & SUBACUTE ENDOCARDITIS 13435 0.03
127: HEART … FAILURE & SHOCK 991057 2.51
128: DEEP VEIN THROMBOPHLEBITIS 7290 0.02
129: CARDIAC ARREST, UNEXPLAINED … Cardiac dysrhythmias 749182 1.90
107: Cardiac arrest and ventricular fibrillation 15565 0.04
108: Congestive … heart failure, nonhypertensive 1098573 2.78
109: Acute cerebrovascular disease 536658 1.36
110: Occlusion