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psnet.ahrq.gov/node/46162/psn-pdf
July 26, 2017 - The association between patient safety indicators and
medical malpractice risk: evidence from Florida and
Texas.
July 26, 2017
Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical
Malpractice Risk: Evidence from Florida and Texas. Am J Health Econ. 2017;3(2).
doi:10.1162/…
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psnet.ahrq.gov/node/38860/psn-pdf
August 12, 2009 - Application of AHRQ patient safety indicators to English
hospital data.
August 12, 2009
Bottle A, Aylin P. Application of AHRQ patient safety indicators to English hospital data. Qual Saf Health
Care. 2009;18(4):303-8. doi:10.1136/qshc.2007.026096.
https://psnet.ahrq.gov/issue/application-ahrq-patient-safety-indic…
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psnet.ahrq.gov/node/39891/psn-pdf
October 06, 2010 - Organisational safety indicators: some conceptual
considerations and a supplementary qualitative approach.
October 6, 2010
Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a
supplementary qualitative approach. Saf Sci. 2010;48(10). doi:10.1016/j.ssci.2010.05.016…
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psnet.ahrq.gov/node/35310/psn-pdf
January 02, 2017 - Using the AHRQ Quality Indicators to improve health care
quality.
January 2, 2017
Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality.
Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5.
https://psnet.ahrq.gov/issue/using-ahrq-quality…
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psnet.ahrq.gov/node/36277/psn-pdf
October 21, 2010 - Are the Agency for Healthcare Research and Quality
obstetric trauma indicators valid measures of hospital
safety?
October 21, 2010
Grobman WA, Feinglass J, Murthy S. Are the Agency for Healthcare Research and Quality obstetric
trauma indicators valid measures of hospital safety? Am J Obstet Gynecol. 2006;195(3):86…
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psnet.ahrq.gov/node/35541/psn-pdf
March 29, 2010 - Feasibility first: developing public performance indicators
on patient safety and clinical effectiveness for Dutch
hospitals.
March 29, 2010
Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient
safety and clinical effectiveness for Dutch hospitals. Health Polic…
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psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/37510/psn-pdf
March 04, 2011 - Rare adverse medical events in VA inpatient care:
reliability limits to using patient safety indicators as
performance measures.
March 4, 2011
West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to
using patient safety indicators as performance measures. Health Serv R…
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - The Impact of Communication on Medication Errors
March 15, 2021
Branch J, Hiner D, Jackson V. The Impact of Communication on Medication Errors. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors
The Case
A 93-year-old man with a history of chronic systolic heart failure…
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - SPOTLIGHT CASE
A Pill Organizing Plight
Citation Text:
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTe…
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - SPOTLIGHT CASE
“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event
Citation Text:
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - The Deadly Duo
Citation Text:
Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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…
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - SPOTLIGHT CASE
Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.
Citation Text:
Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Intraoperative Awareness during Rhinoplasty
1
Source and Credits
This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Christian Bohringer MBBS and Jaijeet Toor MD
AHRQ WebM&M Edit…
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective
Karen Frank, DNP, RN, MSHA | June 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Frank K. Becoming a Certified Professional in Patien…
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - Medication Handling and Compounding Errors in the Operating Room.
Citation Text:
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/node/44082/psn-pdf
April 22, 2015 - Impact of including readmissions for qualifying events in
the Patient Safety Indicators.
April 22, 2015
Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient
safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/1062860613518341.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45600/psn-pdf
September 01, 2018 - Using harm-based weights for the AHRQ Patient Safety
for Selected Indicators composite (PSI-90): does it affect
assessment of hospital performance and financial
penalties in Veterans Health Administration hospitals?
September 1, 2018
Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Based Weights for the AHRQ Patien…
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psnet.ahrq.gov/node/44826/psn-pdf
February 14, 2017 - 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.
February 14, 2017
Winters BD, Bharmal A, Wilson RF, et al. Validity of the Agency for Health Care Research and Quality
…
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psnet.ahrq.gov/node/44449/psn-pdf
January 22, 2016 - Do patient safety indicators explain increased weekend
mortality?
January 22, 2016
Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend
mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030.
https://psnet.ahrq.gov/issue/do-patient-safety-indicators-ex…