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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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. …
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. 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. Copy Citation Format: DOI Google Scholar PubMed BibT…
  7. 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 …
  8. 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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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 …
  12. Psn-Pdf (pdf file)

    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
  13. 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.
  14. 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
  15. Psn-Pdf (pdf file)

    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
  16. 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
  17. 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…
  18. 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. Copy Citation Format: DOI Google Scholar BibTeX EndN…
  19. Psn-Pdf (pdf file)

    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)…
  20. Psn-Pdf (pdf file)

    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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