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psnet.ahrq.gov/node/43486/psn-pdf
September 01, 2016 - Indication alerts intercept drug name confusion errors
during computerized entry of medication orders.
September 1, 2016
Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during
computerized entry of medication orders. PLoS One. 2014;9(7):e101977.
doi:10.1371/journal.pone…
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/42660/psn-pdf
October 16, 2013 - Practice indicators of suboptimal care and avoidable
adverse events: a content analysis of a national qualifying
examination.
October 16, 2013
Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse
events: a content analysis of a national qualifying examination. Acad…
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psnet.ahrq.gov/node/37275/psn-pdf
December 23, 2011 - Developing indicators of inpatient adverse drug events
through nonlinear analysis using administrative data.
December 23, 2011
Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through
nonlinear analysis using administrative data. Med Care. 2007;45(10 Supl 2):S81-8.
…
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psnet.ahrq.gov/node/45059/psn-pdf
July 01, 2016 - An observational study of direct oral anticoagulant
awareness indicating inadequate recognition with
potential for patient harm.
July 1, 2016
Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating
inadequate recognition with potential for patient harm. J Thromb H…
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - Study
Do patient safety events increase readmissions?
Citation Text:
Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da.
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Format:
DOI Google Scholar PubMed BibT…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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psnet.ahrq.gov/node/39550/psn-pdf
July 05, 2013 - A novel method for reproducibly measuring the effects of
interventions to improve emotional climate, indices of
team skills and communication, and threat to patient
outcome in a high-volume thoracic surgery center.
July 5, 2013
Nurok M, Lipsitz S, Satwicz P, et al. A novel method for reproducibly measuring the eff…
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psnet.ahrq.gov/node/42823/psn-pdf
December 18, 2013 - The Orthopaedic Error Index: development and
application of a novel national indicator for assessing the
relative safety of hospital care using a cross-sectional
approach.
December 18, 2013
Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and
application of a novel nationa…
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psnet.ahrq.gov/node/43590/psn-pdf
October 08, 2014 - Disentangling quality and safety indicator data: a
longitudinal, comparative study of hand hygiene
compliance and accreditation outcomes in 96 Australian
hospitals.
October 8, 2014
Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudinal,
comparative study of hand …
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psnet.ahrq.gov/node/39672/psn-pdf
December 17, 2010 - Prevalence and predictors of adverse events in older
surgical patients: impact of the present on admission
indicator.
December 17, 2010
Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients:
impact of the present on admission indicator. Gerontologist. 2010;50(6)…
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psnet.ahrq.gov/node/43634/psn-pdf
November 05, 2014 - Safety in numbers: lack of evidence to indicate the
number of physicians needed to provide safe acute
medical care.
November 5, 2014
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of
physicians needed to provide safe acute medical care. Clin Med (Lond). 2014;14(5):4…
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - A simple confirmation
to the secretary upon cancellation that indicated who was being notified might
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psnet.ahrq.gov/node/45493/psn-pdf
December 07, 2016 - The rising frequency of IT blackouts indicates the
increasing relevance of IT emergency concepts to ensure
patient safety.
December 7, 2016
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of
IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
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psnet.ahrq.gov/node/43939/psn-pdf
February 25, 2015 - Use of quality indicators to compare point-of-care testing
errors in a neonatal unit and errors in a STAT central
laboratory.
February 25, 2015
Cantero M, Redondo M, Martín E, et al. Use of quality indicators to compare point-of-care testing errors in
a neonatal unit and errors in a STAT central laboratory. Clin C…
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psnet.ahrq.gov/node/35316/psn-pdf
August 12, 2016 - Prevention Quality Indicators Overview.
August 12, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/prevention-quality-indicators-overview
The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital
admissions data to screen for potential quality la…
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psnet.ahrq.gov/node/45180/psn-pdf
May 05, 2017 - Investigating adverse event free admissions in Medicare
inpatients as a patient safety indicator.
May 5, 2017
King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a
Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.1097/SLA.0000000000001792.
https://p…
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psnet.ahrq.gov/node/43290/psn-pdf
June 25, 2014 - Unexpectedly long hospital stays as an indicator of risk of
unsafe care: an exploratory study.
June 25, 2014
Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of
unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:10.1136/bmjopen-2013-004773.
https…
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psnet.ahrq.gov/node/38328/psn-pdf
January 02, 2017 - Using implementation safety indicators for CPOE
implementation.
January 2, 2017
Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual
Saf. 2009;35(1):21-28.
https://psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
This study describes th…
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psnet.ahrq.gov/node/41916/psn-pdf
December 12, 2012 - Process indicators of quality clinical pharmacy services
during transitions of care.
December 12, 2012
Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services
during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi:10.1002/phar.1214.
https://psnet.ahr…