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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - hospitals at discharge or physician’s offices can include similar
details if the healthcare provider indicates
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psnet.ahrq.gov/node/39436/psn-pdf
October 25, 2013 - HealthGrades Seventh Annual Patient Safety in American
Hospitals Study.
October 25, 2013
Golden, CO: HealthGrades, Inc.; March 2010.
https://psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study
This report, the latest in an annual series, uses the Agency for Healthcare Research …
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psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
January 23, 2017 - Study
Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety.
Citation Text:
Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…
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psnet.ahrq.gov/node/37245/psn-pdf
December 16, 2011 - Is the availability of hospital IT applications associated
with a hospital's risk adjusted incidence rate for patient
safety indicators: results from 66 Georgia hospitals.
December 16, 2011
Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associated with a
hospital's risk adju…
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psnet.ahrq.gov/node/39877/psn-pdf
September 29, 2010 - Detection of postoperative respiratory failure: how
predictive is the Agency for Healthcare Research and
Quality's Patient Safety Indicator?
September 29, 2010
Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the
Agency for Healthcare Research and Quality's Patient…
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psnet.ahrq.gov/node/43372/psn-pdf
April 13, 2016 - A case for improving measurement of intraoperative
iatrogenic injuries.
April 13, 2016
Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries.
JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237.
https://psnet.ahrq.gov/issue/case-improving-measurement-intrao…
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psnet.ahrq.gov/node/44860/psn-pdf
June 29, 2016 - Performance measures in neurosurgical patient care:
differing applications of patient safety indicators.
June 29, 2016
Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care:
Differing Applications of Patient Safety Indicators. Med Care. 2016;54(4):359-64.
doi:10.1097/MLR.00…
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psnet.ahrq.gov/node/72826/psn-pdf
March 10, 2021 - Prescribers' perspectives on including reason for use
information on prescriptions and medication labels: a
qualitative thematic analysis.
March 10, 2021
Whaley C, Bancsi A, Ho JM-W, et al. Prescribers’ perspectives on including reason for use information on
prescriptions and medication labels: a qualitative thema…
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psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
November 26, 2014 - Study
Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients.
Citation Text:
Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - Review
Classic
Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis.
Citation Text:
Winters BD, Bharmal A, Wilson RF, et…
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - Adverse effects of the Medicare PSI-90 hospital penalty
system on revenue-neutral hospital-acquired conditions.
September 5, 2018
Padula WV, Black JM, Davidson PM, et al. Adverse Effects of the Medicare PSI-90 Hospital Penalty
System on Revenue-Neutral Hospital-Acquired Conditions. J Patient Saf. 2020;16(2):e97-e10…
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery.
Citation Text:
Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045.
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Format:
…
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psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
September 12, 2016 - Study
National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.
Citation Text:
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…
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psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
November 03, 2015 - Study
Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.
Citation Text:
Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):…
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psnet.ahrq.gov/issue/automated-detection-look-alikesound-alike-medication-errors
August 28, 2019 - Study
Automated detection of look-alike/sound-alike medication errors.
Citation Text:
Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690.
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Forma…
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psnet.ahrq.gov/node/72793/psn-pdf
March 03, 2021 - Mitigating imperfect data validity in administrative data
PSIs: a method for estimating true adverse event rates.
March 3, 2021
Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a
method for estimating true adverse event rates. Int J Qual Health Care. 2021;33(1):m…
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psnet.ahrq.gov/node/61094/psn-pdf
November 04, 2020 - The doctor was rude, the toilets are dirty. Utilizing 'soft
signals' in the regulation of patient safety.
November 4, 2020
Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the
regulation of patient safety. Safety Sci. 2020;131:104914. doi:10.1016/j.ssc…
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psnet.ahrq.gov/node/43364/psn-pdf
August 02, 2015 - Comparative safety of endovascular aortic aneurysm
repair over open repair using Patient Safety Indicators
during adoption.
August 2, 2015
Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open
repair using patient safety indicators during adoption. JAMA Surg. 2014;…
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psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - How best to measure surgical quality? Comparison of the
Agency for Healthcare Research and Quality Patient
Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical Quality Improvement Program
(ACS-NSQIP) postoperative adverse events at a single
institution.
October 31, 2011
Cima RR, La…
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - The red arrow indicates the aortic arch.