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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73700/psn-pdf
    September 15, 2021 - Preliminary study of patient safety and quality use cases for ICD-11 MMS. September 15, 2021 Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD- 11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163. https://psnet.ahrq.gov/issue/preli…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44799/psn-pdf
    July 11, 2017 - Unintended Consequences: New Problems and New Solutions. July 11, 2017 Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271. https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions Unexpected effects associated with implementation and use of health information technolo…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862127/psn-pdf
    February 07, 2024 - Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. February 7, 2024 Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Curr Probl Surg. 2024;61(1):10142…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40061/psn-pdf
    December 15, 2010 - Exploring relationships between hospital patient safety culture and adverse events. December 15, 2010 Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1a00. https://psnet.ahrq.gov/is…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46970/psn-pdf
    June 27, 2018 - Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. June 27, 2018 Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10.1093/jamia/ocy043. https://psnet.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39760/psn-pdf
    February 10, 2015 - No harm found when nurse anesthetists work without supervision by physicians. February 10, 2015 Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. https://psnet.ahrq.gov/issue/no-harm-found…

  7. Dropping the Ball Despite an Integrated EMR | PSNet

    psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
    January 07, 2015 - Dropping the Ball Despite an Integrated EMR Citation Text: Karsh B-T. Dropping the Ball Despite an Integrated EMR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49728/psn-pdf
    March 01, 2015 - Medication Mix-Up: From Bad to Worse March 1, 2015 Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse The Case A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital with chest …

  9. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)

    hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2013.pdf
    January 01, 2013 - Inclusion and exclusion criteria should be used to define an index event indicator that identifies NRD … Inclusion and exclusion criteria should be used to define a readmission indicator that identifies NRD … MDC)  DRG (using the HCUP data element DRGnoPOA that does not consider the present on admission indicator … of injury codes coded NPR Number of procedures coded ORPROC Major operating room procedure indicator … Category Data Element Name Description Clinical Information CHRON1-CHRON25 Chronic condition indicator

  10. Nis 2013 Maskedstats Core Weighted (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2013_MaskedStats_Core_Weighted.PDF
    January 01, 2013 - 1,585 0.00 90.00 48.653672 0.195654 48.3 49.0 AGE_NEONATE Neonatal age (first 28 days after birth) indicator … E_CCS4 CCS: E Code 4 50,172 7,069,391 662.00 2,621.00 2,577.364705 2.553415 2572.4 2582.4 FEMALE Indicator … sex 7,118,115 1,448 0.00 1.00 0.574207 0.001060 0.6 0.6 HCUP_ED HCUP Emergency Department service indicator … 7,119,563 0 0.00 4.00 0.807878 0.011478 0.8 0.8 HOSPBRTH Indicator of birth in this hospital 7,119,563 … 7,087,913 31,650 0.00 2.00 0.093111 0.002625 0.1 0.1 TRAN_OUT Transfer out indicator 7,116,931 2,632

  11. Nis 2012 Maskedstats Core (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2012_MaskedStats_Core.PDF
    January 01, 2012 - admission 7,293,627 3,341 0.00 90.00 48.59 27.61 AGE_NEONATE : Neonatal age (first 28 days after birth) indicator … 2,558.86 331.63 E_CCS4 : CCS: E Code 4 55,241 7,241,727 662.00 2,621.00 2,573.15 293.80 FEMALE : Indicator … of sex 7,296,000 968 0.00 1.00 0.58 0.49 HCUP_ED : HCUP Emergency Department service indicator 7,296,968 … 0 0.00 4.00 0.81 1.11 HOSPBRTH : Indicator of birth in this hospital 7,296,968 0 0.00 1.00 0.10 0.30 … 7,257,536 39,432 0.00 2.00 0.09 0.36 TRAN_OUT : Transfer out indicator 7,295,154 1,814 0.00 2.00 0.29

  12. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
    September 01, 2012 - Spotlight Case July 2008 Spotlight Case Peripheral IV in Too Long 1 2 Source and Credits This presentation is based on the September 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Chi-Tai Fang, MD, PhD; Associate Professor, National Taiwan Uni…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49521/psn-pdf
    September 12, 2006 - A Troubling Amine September 1, 2006 Flynn EA. A Troubling Amine. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/troubling-amine The Case A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure. She was found to have severe mitral and tricuspid valve regurgi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74158/psn-pdf
    December 08, 2021 - An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. December 8, 2021 Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. JAMIA Open. 2021;4(4):ooab096. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37569/psn-pdf
    March 21, 2017 - How often are potential patient safety events present on admission? March 21, 2017 Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63. https://psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-pres…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37738/psn-pdf
    January 10, 2017 - Recruitment of hospitals for a safety climate study: facilitators and barriers. January 10, 2017 Rosen AK, Gaba DM, Meterko M, et al. Recruitment of hospitals for a safety climate study: facilitators and barriers. Jt Comm J Qual Patient Saf. 2008;34(5):275-84. https://psnet.ahrq.gov/issue/recruitment-hospitals-saf…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73119/psn-pdf
    April 07, 2021 - Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. April 7, 2021 Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a s…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74125/psn-pdf
    January 01, 2022 - Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. December 1, 2021 Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients f…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43192/psn-pdf
    December 15, 2014 - Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? December 15, 2014 Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Health Serv Res.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35448/psn-pdf
    September 18, 2009 - Relationship between performance measurement and accreditation: implications for quality of care and patient safety. September 18, 2009 Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
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