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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/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…
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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…
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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/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:…
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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…
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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/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
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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
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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
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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
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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
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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. …
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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…
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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.…
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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. …
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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…
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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.…
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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.
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