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psnet.ahrq.gov/node/35271/psn-pdf
June 29, 2009 - Use of specific indicators to detect warfarin-related
adverse events.
June 29, 2009
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events.
American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
https://psnet.ahrq.gov/issue/use-specific-indic…
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psnet.ahrq.gov/node/40998/psn-pdf
December 14, 2011 - Identifying unintended consequences of quality
indicators: a qualitative study.
December 14, 2011
Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a
qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371.
https://psnet.ahrq.gov/issue/identify…
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psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - Indication-based prescribing prevents wrong-patient
medication errors in computerized provider order entry
(CPOE).
January 7, 2015
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors
in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/node/39436/psn-pdf
October 25, 2013 - HealthGrades Seventh Annual Patient Safety in American
Hospitals Study.
October 25, 2013
Golden, CO: HealthGrades, Inc.; March 2010.
https://psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study
This report, the latest in an annual series, uses the Agency for Healthcare Research …
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - percutaneous pinning of the femoral head, or even femoral head resection (Girdlestone procedure)] if indicated … The team apparently had trouble placing an epidural catheter, which would have been strongly indicated
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psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
January 23, 2017 - Study
Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety.
Citation Text:
Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…
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psnet.ahrq.gov/node/37245/psn-pdf
December 16, 2011 - Is the availability of hospital IT applications associated
with a hospital's risk adjusted incidence rate for patient
safety indicators: results from 66 Georgia hospitals.
December 16, 2011
Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associated with a
hospital's risk adju…
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psnet.ahrq.gov/node/39877/psn-pdf
September 29, 2010 - Detection of postoperative respiratory failure: how
predictive is the Agency for Healthcare Research and
Quality's Patient Safety Indicator?
September 29, 2010
Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the
Agency for Healthcare Research and Quality's Patient…
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psnet.ahrq.gov/node/43372/psn-pdf
April 13, 2016 - A case for improving measurement of intraoperative
iatrogenic injuries.
April 13, 2016
Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries.
JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237.
https://psnet.ahrq.gov/issue/case-improving-measurement-intrao…
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psnet.ahrq.gov/node/44860/psn-pdf
June 29, 2016 - Performance measures in neurosurgical patient care:
differing applications of patient safety indicators.
June 29, 2016
Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care:
Differing Applications of Patient Safety Indicators. Med Care. 2016;54(4):359-64.
doi:10.1097/MLR.00…
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery.
Citation Text:
Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045.
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psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
September 12, 2016 - Study
National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.
Citation Text:
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…
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psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
November 03, 2015 - Study
Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.
Citation Text:
Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):…
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - In this case, had the
physician indicated that the baby was being treated for opiate toxicity, the nurse
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - belonged to a diabetic patient; the technologist suspected a mix-up after a urine dipstick
on that sample indicated
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - to screen the patient's laboratory
values (serum potassium) and disease states (renal failure, as indicated
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psnet.ahrq.gov/node/43364/psn-pdf
August 02, 2015 - Comparative safety of endovascular aortic aneurysm
repair over open repair using Patient Safety Indicators
during adoption.
August 2, 2015
Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open
repair using patient safety indicators during adoption. JAMA Surg. 2014;…
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psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - How best to measure surgical quality? Comparison of the
Agency for Healthcare Research and Quality Patient
Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical Quality Improvement Program
(ACS-NSQIP) postoperative adverse events at a single
institution.
October 31, 2011
Cima RR, La…
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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - successfully prevented wrong drug errors.(15) An expert panel recommended displaying a
list of medications indicated