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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…
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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/…
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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…
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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…
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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…
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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…
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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…
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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…
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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
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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.
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Format:
Google Scholar PubM…
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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. …
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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.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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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…
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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…
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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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
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units…
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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.
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For…
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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…
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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…
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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…