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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication
Error in an Uncommon Indication
October 28, 2020
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-
…
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psnet.ahrq.gov/node/35316/psn-pdf
August 12, 2016 - Prevention Quality Indicators Overview.
August 12, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/prevention-quality-indicators-overview
The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital
admissions data to screen for potential quality la…
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psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
June 22, 2016 - Commentary
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'
Citation Text:
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…
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psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
August 02, 2012 - Study
Medicaid markets and pediatric patient safety in hospitals.
Citation Text:
Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98.
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Format:
Google Scholar PubMed BibTeX EndNote…
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psnet.ahrq.gov/node/45180/psn-pdf
May 05, 2017 - Investigating adverse event free admissions in Medicare
inpatients as a patient safety indicator.
May 5, 2017
King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a
Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.1097/SLA.0000000000001792.
https://p…
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psnet.ahrq.gov/node/43290/psn-pdf
June 25, 2014 - Unexpectedly long hospital stays as an indicator of risk of
unsafe care: an exploratory study.
June 25, 2014
Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of
unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:10.1136/bmjopen-2013-004773.
https…
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psnet.ahrq.gov/node/38328/psn-pdf
January 02, 2017 - Using implementation safety indicators for CPOE
implementation.
January 2, 2017
Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual
Saf. 2009;35(1):21-28.
https://psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
This study describes th…
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psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
March 02, 2011 - Study
Using inpatient hospital discharge data to monitor patient safety events.
Citation Text:
Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107.
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…
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psnet.ahrq.gov/node/41916/psn-pdf
December 12, 2012 - Process indicators of quality clinical pharmacy services
during transitions of care.
December 12, 2012
Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services
during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi:10.1002/phar.1214.
https://psnet.ahr…
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psnet.ahrq.gov/node/35271/psn-pdf
June 29, 2009 - Use of specific indicators to detect warfarin-related
adverse events.
June 29, 2009
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events.
American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
https://psnet.ahrq.gov/issue/use-specific-indic…
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psnet.ahrq.gov/node/40998/psn-pdf
December 14, 2011 - Identifying unintended consequences of quality
indicators: a qualitative study.
December 14, 2011
Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a
qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371.
https://psnet.ahrq.gov/issue/identify…
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psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - Indication-based prescribing prevents wrong-patient
medication errors in computerized provider order entry
(CPOE).
January 7, 2015
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors
in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
April 17, 2009 - Study
The association between hospital characteristics and rates of preventable complications and adverse events.
Citation Text:
The association between hospital characteristics and rates of preventable complications and adverse events. Thornlow DK; Stukenborg GJ.
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…
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psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
May 11, 2014 - Study
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida.
Citation Text:
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…
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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…