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psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - Study
Medical adverse events in the US 2018 mortality data.
Citation Text:
Oura P. Medical adverse events in the US 2018 mortality data. Prev Med Rep. 2021;24:101574. doi:10.1016/j.pmedr.2021.101574.
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psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
June 22, 2022 - Study
Hospital COVID-19 burden and adverse event rates.
Citation Text:
Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936.
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - Study
Classic
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Citation Text:
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…
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psnet.ahrq.gov/issue/animated-stories-medical-error-means-teaching-undergraduates-patient-safety-evaluation-study
June 10, 2020 - Study
Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.
Citation Text:
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu…
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psnet.ahrq.gov/issue/estimation-breast-cancer-overdiagnosis-us-breast-screening-cohort
March 30, 2022 - Study
Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort.
Citation Text:
Ryser MD, Lange J, Inoue LYT, et al. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Ann Intern Med. 2022;175(4):471-478. doi:10.7326/m21-3577.
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psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving home health care.
Citation Text:
Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…
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psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice
March 12, 2014 - Study
Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates.
Citation Text:
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…
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psnet.ahrq.gov/issue/what-safety-nonemergent-operative-procedures-performed-night
July 20, 2022 - Study
What is the safety of nonemergent operative procedures performed at night?
Citation Text:
Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using th…
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psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Study
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?
Citation Text:
Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-1…
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psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions
February 18, 2011 - Study
Shifting indirect patient care duties to after hours in the era of work hours restrictions.
Citation Text:
Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…
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psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
January 27, 2021 - Study
Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients.
Citation Text:
Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…
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psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
October 03, 2018 - Study
Serious incidents after death: content analysis of incidents reported to a national database.
Citation Text:
Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…
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psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
February 22, 2019 - Study
A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Citation Text:
Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …
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psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
April 20, 2022 - Review
A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.
Citation Text:
Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model-Experiences of Affected H…
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psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
March 12, 2014 - Study
Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.
Citation Text:
Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…
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psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
August 15, 2012 - Study
Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals.
Citation Text:
Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J …
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www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - Making Adjustments to Health Care Quality Scores
One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
November 01, 2018 - Evaluating the Results of a Quality Reporting Project
The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve.
What consumer audience were you trying to reach?
What changes …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab2.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 2: Availability of Selected Medicaid 1915(c) Waiver Home and Community-Based Services, by State, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Ava…
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…