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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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www.ahrq.gov/faqs/index.html
July 10, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/faqs/index.html?page=0
Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
January 01, 2006 - compare-PDI-rates-average
The risk-adjusted rate is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather than its *Note: Risk-adjusted rates are not available in the most up-to-date version of the ICD-10 software. Future versions of the QI software will allow…
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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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix V: Tested Measures by DRA Domain
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and S…
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.pdf
June 02, 2025 - Gap Analysis
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.5
Gap Analysis
What is the purpose of this tool? The purpose of the gap analysis is to provide project teams
with a format in which to do the following:
• Compare the best practices with the p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d5_pdi_gapanalysis.pdf
June 02, 2025 - Gap Analysis
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.5 i
Gap Analysis
What is the purpose of this tool? The purpose of the gap analysis is to provide project teams
with a format in which to do the following:
• Compare the best practices with…
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www.ahrq.gov/news/newsroom/case-studies/multicenter-0701.html
October 01, 2014 - Commonwealth Fund Uses AHRQ Resources To Help Assess U.S. Health System Performance
Search All Impact Case Studies
February 2007
The Commonwealth Fund's scorecard report, Why Not the Best? Results from a National Scorecard on U.S. Health System Performance, used a variety of AHRQ products, research, and t…
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Study
Classic
Quality improvement implementation and hospital performance on patient safety indicators.
Citation Text:
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 19E: SMI Subpopulation
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCBS Popu…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 19B: Dually Eligible HCBS Participants
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators f…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 19C: Medicaid-Only HCBS Participants
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
…