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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74060/psn-pdf
    November 10, 2021 - Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. November 10, 2021 Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real?life study. Basic Clin Pharmacol Toxicol. 2021;1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46103/psn-pdf
    September 23, 2017 - Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. September 23, 2017 Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0911. https://psnet.ahrq.gov/issue/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851910/psn-pdf
    August 02, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. August 2, 2023 Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on 30-Day all-cause mortality and r…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855421/psn-pdf
    November 15, 2023 - Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. November 15, 2023 Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication optimization in older adults: de…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48158/psn-pdf
    July 24, 2019 - Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. July 24, 2019 Li Y, Cen X, Cai X, et al. Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators. Med Care. 2019;57(8):641-647. doi:10.1097/MLR.0…
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2025-hcbs-infographic.pdf
    January 01, 2025 - 2025 HCBS CAHPS Survey Database Executive Summary cahps® 2025 Home and Community-Based Services Survey Database Results 10,686 total respondents 6,821 Multiple Population Program respondents 1,171 Intellectual & Developmental Disability Program respondents 1,010 Older Adult Program respondents 4…
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hcbs-infographic.pdf
    January 01, 2023 - 2023 HCBS CAHPS Survey Database Executive Summary 2023 Home and Community-Based Services Survey Database Results 3,352 Multiple Population Program respondents 664 Older Adult Program respondents 330 Acquired Brain Injury Program respondents 288 Physical Disability Program respondents 56 Inte…
  8. www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/sample-frame-elements.html
    February 01, 2025 - Examples of Sample Frame Elements The sample frame that a CAHPS survey sponsor provides to a vendor would ideally include the following information (data elements). Elements for an Adult Survey Unique patient ID (typically provided by provider or insurer). Name of person (first and last names in separate fields…
  9. hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2020.pdf
    January 01, 2020 - 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 … flags for the diagnoses DRGVER Grouper version in use on discharge date I10_BIRTH ICD-10-CM birth indicator … I10_DELIVERY ICD-10-CM/PCS delivery indicator I10_DX1–I10_DX40 ICD-10-CM diagnoses, principal and … ICD-10-PCS procedures, principal and secondary I10_SERVICELINE ICD-10-CM/PCS hospital service line indicator
  10. psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…
  11. psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review
    December 15, 2008 - Study Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. Citation Text: Talsma AN, Bahl V, Campbell D. Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. J Nurs Care Qual. 2008;23(3):202-210. …
  12. psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  13. psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
    October 03, 2011 - Study Evaluation of causes and frequency of medication errors during information technology downtime. Citation Text: Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…
  14. psnet.ahrq.gov/issue/developing-indicators-inpatient-adverse-drug-events-through-nonlinear-analysis-using
    December 23, 2011 - Study Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Citation Text: Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Med…
  15. psnet.ahrq.gov/issue/economics-diagnostic-safety
    July 28, 2021 - Book/Report The Economics of Diagnostic Safety. Citation Text: de Bienassis K, Slawomirski L, Kelly D, et al. The Economics Of Diagnostic Safety. Paris, France: OECD Publishing; 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  16. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
    October 01, 2020 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units…
  17. psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
    June 29, 2011 - Study Pharmacists' perceptions of computerized prescriber-order-entry systems. Citation Text: Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber-order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. Copy Citation For…
  18. digital.ahrq.gov/health-care-theme/medication-safety
    January 01, 2023 - Medication Safety Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning Description This research uses large language models and machine learning to retrospectively analyze electronic health records of pa…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.docx
    December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding r…
  20. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs7.html
    June 01, 2018 - Chartbook on Health Care for Blacks Part 3: National Quality Strategy Priority—Care Affordability Previous Page Next Page Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population Part 2: Trends in Pr…