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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - calls using systems and providers that are not a part of the patient’s medical home, some research indicates
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psnet.ahrq.gov/node/73616/psn-pdf
August 18, 2021 - Do Black and White Patients Experience Similar Rates of
Adverse Safety Events at the Same Hospital?
August 18, 2021
Gangopadhyaya A. Washington DC; Urban Institute: July 2021.
https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-
same-hospital
Racial inequities h…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong
Medication
September 30, 2020
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
The Case
A 65-year-old woman co…
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psnet.ahrq.gov/node/43227/psn-pdf
June 04, 2014 - Detecting adverse events in surgery: comparing events
detected by the Veterans Health Administration Surgical
Quality Improvement Program and the Patient Safety
Indicators.
June 4, 2014
Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events detected by
the Veterans Health Ad…
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psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
November 01, 2017 - Study
Patient safety in plastic surgery: identifying areas for quality improvement efforts.
Citation Text:
Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…
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psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
July 19, 2018 - Study
The occurrence of potential patient safety events among trauma patients: are they random?
Citation Text:
Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…
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psnet.ahrq.gov/node/73702/psn-pdf
January 01, 2022 - Evaluating the safety of mental health-related prescribing
in UK primary care: a cross-sectional study using the
Clinical Practice Research Datalink (CPRD).
September 15, 2021
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK
primary care: a cross-sectional st…
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psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
December 21, 2014 - Study
Cost-effective enhancement of claims data to improve comparisons of patient safety.
Citation Text:
Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
February 23, 2011 - Study
Health information technology and patient safety: evidence from panel data.
Citation Text:
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - Identifying Adverse Events Not Present on Admission:
Can We Do It?
October 1, 2008
Naessens JM. Identifying Adverse Events Not Present on Admission: Can We Do It? PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
Perspective
Interest is growi…
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psnet.ahrq.gov/issue/thirty-day-all-cause-readmissions-elderly-patients-who-have-injury-related-inpatient-stay
August 03, 2017 - Study
Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.
Citation Text:
Spector WD, Mutter R, Owens P, et al. Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay. Med Care. 2012;50(10):863-9. …
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psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health
March 15, 2016 - Study
How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals.
Citation Text:
George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…
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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/37831/psn-pdf
December 23, 2012 - Charges and lengths of stay attributable to adverse
patient-care events using pediatric-specific quality
indicators: a multicenter study of freestanding children's
hospitals.
December 23, 2012
Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse patient-care
events using pediat…
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psnet.ahrq.gov/node/44079/psn-pdf
May 28, 2015 - Differences in the rates of patient safety events by payer:
implications for providers and policymakers.
May 28, 2015
Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications
for providers and policymakers. Med Care. 2015;53(6):524-9. doi:10.1097/MLR.00000000000003…
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psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
September 23, 2009 - Study
Developing an adverse event reporting system using administrative data.
Citation Text:
Developing an adverse event reporting system using administrative data. Bahl V; Thompson MA; Commisky EL; Anderson S; Campbell DA Jr.
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