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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 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. 2017;24(2):310-315. doi:10.1093/jami…
  5. 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. Copy Citation Save Save to yo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43346/psn-pdf
    August 02, 2015 - Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. August 2, 2015 Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi:10.1001/jamasurg.2014.31. https:…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36807/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…
  8. 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
  9. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
    May 01, 2006 - It simply indicates that an undesirable clinical outcome resulted from some aspect of diagnosis or therapy
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49631/psn-pdf
    July 01, 2011 - of non-adherence has low sensitivity but high specificity as a diagnostic test).(5) Of interest, he indicates
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49443/psn-pdf
    May 01, 2004 - set aside, not because HIPAA is unimportant, but because the appearance of a conflict most likely indicates
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49577/psn-pdf
    January 01, 2009 - This analysis indicates that outpatient CSII users are likely to be encountered infrequently in the hospital
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49838/psn-pdf
    August 01, 2018 - this case, "orders were written and the respiratory therapist and the patient's nurse were informed" indicates
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40726/psn-pdf
    July 03, 2014 - Automated identification of postoperative complications within an electronic medical record using natural language processing. July 3, 2014 Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an electronic medical record using natural language processing. JAMA. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44993/psn-pdf
    April 17, 2017 - Surgical patient safety outcomes in critical access hospitals: how do they compare? April 17, 2017 Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. https://psnet.ahrq.gov/issue/surgica…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45395/psn-pdf
    August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…
  17. psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
    December 19, 2012 - Study Creating effective quality-improvement collaboratives: a multiple case study. Citation Text: Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39438/psn-pdf
    March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. March 23, 2011 King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.030114. https://psnet.ahrq.gov/issue/tim…
  19. psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
    October 01, 2014 - Study Development of trigger tools for surveillance of adverse events in ambulatory surgery. Citation Text: Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.…
  20. psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
    July 03, 2016 - Commentary Patient safety: let's measure what matters. Citation Text: Thomas EJ, Classen D. Patient safety: let's measure what matters. Ann Intern Med. 2014;160(9):642-3. doi:10.7326/M13-2528. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

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