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psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - Patterns of potential opioid misuse and subsequent
adverse outcomes in Medicare, 2008 to 2012.
June 26, 2018
Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes
in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - Assessment of nursing home reporting of major injury
falls for quality measurement on Nursing Home Compare.
February 5, 2020
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality
measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
May 20, 2012 - HHCEB Presentation
*
VTE Prevention:
An Institution-wide Initiative
University of Michigan
Caprini VTE risk assessment
May 20, 2012
Marc Moote, PA-C
Chief Physician Assistant
University of Michigan Health System
*
*
Key Strategies
Scope: ALL adult inpatients
Standardized VTE Protocol – Caprini model
Mandato…
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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psnet.ahrq.gov/node/837414/psn-pdf
January 01, 2023 - Improving the approach to defining, classifying, reporting
and monitoring adverse events in seriously ill older
adults: recommendations from a multi-stakeholder
convening.
June 15, 2022
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifying, reporting and
monitoring adverse ev…
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psnet.ahrq.gov/node/838077/psn-pdf
September 14, 2022 - Healthcare-associated adverse events in alternate level of
care patients awaiting long-term care in hospital.
September 14, 2022
Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care
patients awaiting long-term care in hospital. Geriatrics (Basel). 2022;7(4):81.
d…
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psnet.ahrq.gov/node/837341/psn-pdf
June 08, 2022 - Risk from delayed or missed care and non-COVID-19
outcomes for older patients with chronic conditions
during the pandemic.
June 8, 2022
Smith M, Vaughan Sarrazin M, Wang X, et al. Risk from delayed or missed care and non-COVID-19
outcomes for older patients with chronic conditions during the pandemic. J Am Geriatr…
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach.
August 27, 2008
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach.
Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
https://psnet.ahrq.gov/issue/detection-…
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psnet.ahrq.gov/node/44815/psn-pdf
November 30, 2016 - Comparing NICU teamwork and safety climate across two
commonly used survey instruments.
November 30, 2016
Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly
used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-2014-003924.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/843054/psn-pdf
January 25, 2023 - Exploring nursing-sensitive events in home healthcare: a
national multicenter cohort study using a trigger tool.
January 25, 2023
Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a
national multicenter cohort study using a trigger tool. Int J Nurs Stud. 2022;138:1044…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-17.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.17. Comparison of Clinician Responses to the Pre- and Postintervention Survey Indicating That They Recommend Various CRC Screening Modalities or Believe They Are Effec
Previous Page Next Page
Table of Contents
Health Care Sys…
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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - Analysis of readmissions in a mobile integrated health
transitional care program using root cause analysis and
common cause analysis.
May 25, 2022
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional
care program using root cause analysis and common cause ana…
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www.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Topic: Children/Adolescents
Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Cente…
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psnet.ahrq.gov/node/35486/psn-pdf
December 06, 2011 - The poor state of health care quality in the U.S.: is
malpractice liability part of the problem or part of the
solution?
December 6, 2011
Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the
problem or part of the solution? Cornell Law Rev. 2005;90(4):893-993.…
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psnet.ahrq.gov/node/74000/psn-pdf
January 01, 2022 - Systematic review: nurses' safety attitudes and their
impact on patient outcomes in acute-care hospitals.
October 27, 2021
Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient
outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-43. doi:10.1002/nop2.1063.
https:…
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of
organizational justice.
October 6, 2021
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related
patient safety incidents: the effects of organizational justice. Safety…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-brown.pdf
September 01, 2018 - Developing Invitation Messages that Increase Survey Response Rates - Brown
Foundations in Prior Research
• Today’s presentations build on prior research
► History of CAHPS research to inform survey wording and approach to
survey invitations
− Visit the CAHPS bibliography at www.ahrq.gov to find research findings
…
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psnet.ahrq.gov/node/866312/psn-pdf
July 17, 2024 - Development of patient safety measures to identify
inappropriate diagnosis of common infections.
July 17, 2024
White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate
diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044.
https…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared visit
notes.
January 18, 2023
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared visit notes. Milbank Q. 2022;100(4)…