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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/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/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/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/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/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/node/39746/psn-pdf
August 11, 2010 - Analysis of adverse events in pediatric surgery using
criteria validated from the adult population: justifying the
need for pediatric-focused outcome measures.
August 11, 2010
Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteria
validated from the adult populat…
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psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - Care management implementation and patient safety.
July 14, 2010
Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
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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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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/node/39358/psn-pdf
October 13, 2010 - Hospital safety climate and safety outcomes: is there a
relationship in the VA?
October 13, 2010
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.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/35462/psn-pdf
February 18, 2011 - Effect of the transformation of the Veterans Affairs Health
Care System on the quality of care.
February 18, 2011
Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System
on the quality of care. N Engl J Med. 2003;348(22):2218-27.
https://psnet.ahrq.gov/issue/effe…
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psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Ambulatory Surgery Center Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
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psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Developing and evaluating an automated all-cause harm
trigger system.
July 18, 2017
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger
System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
https://psnet.ahrq.gov/issue/developing-and-e…
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psnet.ahrq.gov/node/35855/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO: HealthGrades; 2006.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-
study
This third annual report on the safety of hospitalized Medicare patien…