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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - A comparison of hospital adverse events identified by
three widely used detection methods.
June 28, 2011
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by
three widely used detection methods. Int J Qual Health Care. 2009;21(4):301-7.
doi:10.1093/intqhc/mzp027.
h…
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psnet.ahrq.gov/node/37895/psn-pdf
July 09, 2008 - Accidents, claiming, and regional subcultures: are
medical errors and malpractice lawsuits related to social
capital?
July 9, 2008
Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits
related to social capital? J Safety Res. 2008;39(3). doi:10.1016/j.jsr.2008.01.00…
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psnet.ahrq.gov/issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
June 04, 2014 - Study
Development and testing of tools to detect ambulatory surgical adverse events.
Citation Text:
Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88.
…
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - Review
Classic
Defining and measuring patient safety.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii.
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psnet.ahrq.gov/node/39300/psn-pdf
February 17, 2010 - Patient safety outcomes in small urban and small rural
hospitals.
February 17, 2010
Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural
Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x.
https://psnet.ahrq.gov/issue/patient-safety-outcomes-small-urba…
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psnet.ahrq.gov/node/37979/psn-pdf
April 11, 2011 - Preliminary assessment of pediatric health care quality
and patient safety in the United States using readily
available administrative data.
April 11, 2011
McDonald KM, Davies SM, Haberland CA, et al. Preliminary assessment of pediatric health care quality
and patient safety in the United States using readily avai…
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - hospitals at discharge or physician’s offices can include similar details if the healthcare provider indicates
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psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
November 13, 2009 - Study
Multiple patient safety events within a single hospitalization: a national profile in US hospitals.
Citation Text:
Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
October 14, 2009 - Study
Hospital safety climate and safety outcomes: is there a relationship in the VA?
Citation Text:
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
…
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - this case, "orders were written and the respiratory therapist and the patient's nurse were informed" indicates
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psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
March 01, 2005 - This analysis indicates that outpatient CSII users are likely to be encountered infrequently in the hospital
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - medication regimen (polypharmacy) are likely contributors to nonadherence.( 4 ) Current evidence indicates
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - non-adherence has low sensitivity but high specificity as a diagnostic test).( 5 ) Of interest, he indicates
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - interruptions and events, which may undermine their efforts to communicate effectively.(7)
Previous research indicates
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - This focus may be somewhat
surprising, because the published evidence indicates that patients being
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psnet.ahrq.gov/node/41846/psn-pdf
November 28, 2012 - Thirty-day, all-cause readmissions for elderly patients
who have an injury-related inpatient stay.
November 28, 2012
Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an
injury-related inpatient stay. Med Care. 2012;50(10):863-9. doi:10.1097/MLR.0b013e31825f2840.…
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psnet.ahrq.gov/node/37571/psn-pdf
February 27, 2008 - Comparing measures of patient safety for inpatient care
provided to veterans within and outside the VA system in
New York.
February 27, 2008
Weeks WB, West AN, Rosen AK, et al. Comparing measures of patient safety for inpatient care provided to
veterans within and outside the VA system in New York. Qual Saf Health…
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psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
June 05, 2018 - Study
Emerging Classic
Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.
Citation Text:
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify an…
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psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
June 04, 2014 - Study
Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes.
Citation Text:
Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…
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psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
December 24, 2008 - Measurement Tool/Indicator
Workplace Safety Supplemental Item Set for Hospital SOPS.
Citation Text:
Workplace Safety Supplemental Item Set for Hospital SOPS. Rockville, MD: Agency for Healthcare Research and Quality; 2021.
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