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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/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/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/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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DOI Google Scholar PubMed BibT…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - Study
Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes?
Citation Text:
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …
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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/865698/psn-pdf
April 24, 2024 - However, if the use
of agency nurses does not decline, research indicates that agency nurses can be
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psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
February 26, 2025 - I'm glad that PSNet honors that broad range because it indicates that safety is not a one-shot deal.
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psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
October 30, 2024 - Hosp Med . 2021;16(2):93-96. [ Access ]
Date Verified by Innovator
Date Verified by Innovator indicates
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - published in 2024, added to the evidence base
behind patient safety interventions, and data from AHRQ indicates
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Recent data indicates that 84% of federal acute care hospitals had implemented CPOE by the end of 2015
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psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
July 10, 2019 - Study
Personal formularies of primary care physicians across 4 health care systems.
Citation Text:
Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17…
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - Study
Sources of nurse-sensitive inpatient safety improvement.
Citation Text:
Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979.
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DOI Google Scholar BibTeX EndN…
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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…