-
psnet.ahrq.gov/node/39535/psn-pdf
May 19, 2010 - Assessment of a safety enhancement to the hospital
medication reconciliation process for elderly patients.
May 19, 2010
Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication
reconciliation process for elderly patients. Am J Geriatr Pharmacother. 2010;8(2):127-35.
doi:10.1…
-
psnet.ahrq.gov/node/44135/psn-pdf
November 06, 2015 - Freedom to Speak Up: A Review of Whistleblowing in the
NHS.
November 6, 2015
Francis R. London, UK: Department of Health; February 2015.
https://psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
Staff willingness to raise awareness of problems that could affect patient care is an important indicator of
…
-
psnet.ahrq.gov/node/42066/psn-pdf
March 11, 2013 - Stakeholder challenges in purchasing medical devices for
patient safety.
March 11, 2013
Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient
safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306.
https://psnet.ahrq.gov/issue/stakeholder-challenges…
-
www.ahrq.gov/nursing-home/resources/module-7-hand-hygiene.html
April 01, 2022 - Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course
Resource: Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course
This module describes how hand hygiene prevents the spread of pathogens, including those that are resistant to antibiotics, and reduces the risk of i…
-
psnet.ahrq.gov/node/838079/psn-pdf
September 14, 2022 - Exploring the impact of employee engagement and
patient safety.
September 14, 2022
Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J
Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059.
https://psnet.ahrq.gov/issue/exploring-impact-employee-engag…
-
psnet.ahrq.gov/node/35657/psn-pdf
July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small
Rural Hospitals: Implications for Medication Safety.
July 5, 2013
Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center;
2005.
https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…
-
psnet.ahrq.gov/node/39786/psn-pdf
August 25, 2010 - Trend analysis of radiation therapy incidents over seven
years.
August 25, 2010
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother
Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
https://psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-ov…
-
psnet.ahrq.gov/node/60260/psn-pdf
April 22, 2020 - Joint Statement on Multiple Patients Per Ventilator.
April 22, 2020
The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for
Respiratory Care, American Society of Anesthesiologists, American Association of Critical?Care Nurses,
and American College of Chest Physicians. M…
-
hcup-us.ahrq.gov/db/nation/nrd/NRD2010-2013.pdf
January 01, 2013 - Overlapping Stays
In the 2010–2013 NRD, there are a small number of instances of overlapping stays (i.e., adding
the length of stay (LOS) to the NRD timing variable (NRD_DaystoEvent) for a specific patient
(NRD_VisitLink) produces a number larger than the NRD_ DaystoEvent value of the patient’s
subsequent hospitali…
-
psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - information from the client, including vital signs (e.g., blood pressure, pulse rate), other clinical indicators … Based on the client's medication list and clinical indicators, the software identifies five types of
-
psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - imagine it is challenging, for example, to determine preventability for some of the
nursing-sensitive indicators … Sarah Mossburg: So, bundles and checklists are effective tools to improve safety, based on the
indicators
-
www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - AHRQ quality indicators - guide to prevention
quality indicators: hospital admission for ambulatory
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - its services; involves all departments and
services (including contracted services); and focuses on indicators … surgery
• Patient mortality triple
the norm and rise in
adverse events and
claims (often lagging
indicators
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - based on financial savings across all populations, and 20 percent is based on improvement in clinical indicators … program evaluation strategy, which includes establishing the baseline for the financial and performance indicators
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/oTCYGYUNJSeY-CtZxh2U33
March 01, 2004 - self-administered questionnaires were
provided to pregnant mothers in a 2-step method
such as the Hawaii Risk Indicators … elder abuse as part of the periodic health
examination, but recommended that physicians be
alert for indicators
-
hcup-us.ahrq.gov/reports/race/HCUP_R_E_finalreport-02311AHRQ.jsp
November 01, 2011 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … (i.e., should the comparison group be the population with the best health indicators?
-
psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - https://www.safetyandquality.gov.au/our-work/indicators/avoidable-hospi…
Pronovost PJ, Brotman DJ, … Rethinking Thirty-Day Hospital Readmissions: Shorter Intervals Might Be Better Indicators of Quality
-
www.uspreventiveservicestaskforce.org/Home/GetFile/1/516/famviolrs/pdf
March 01, 2004 - self-administered questionnaires were
provided to pregnant mothers in a 2-step method
such as the Hawaii Risk Indicators … elder abuse as part of the periodic health
examination, but recommended that physicians be
alert for indicators
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/hjuYDA8xgVaaaP-cv39HAA
March 01, 2004 - self-administered questionnaires were
provided to pregnant mothers in a 2-step method
such as the Hawaii Risk Indicators … elder abuse as part of the periodic health
examination, but recommended that physicians be
alert for indicators
-
www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Schyve
Measurement and Taxonomies
Applying Patient Safety Indicators (PSIs) Across Health Care Systems … Rake
Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings ( PDF , 186 KB)
Lucy