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psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - Patient identification of diagnostic safety blindspots and
participation in "good catches" through shared visit
notes.
January 18, 2023
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation
in "good catches" through shared visit notes. Milbank Q. 2022;100(4)…
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psnet.ahrq.gov/node/73315/psn-pdf
May 26, 2021 - What contributes to diagnostic error or delay? A
qualitative exploration across diverse acute care settings
in the United States.
May 26, 2021
Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration
across diverse acute care settings in the United States. J Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly…
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psnet.ahrq.gov/node/40513/psn-pdf
June 08, 2011 - "Sign right here and you're good to go": a content
analysis of audiotaped emergency department discharge
instructions.
June 8, 2011
Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency
department discharge instructions. Ann Emerg Med. 2011;57(4):315-322.e1.
doi:10…
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psnet.ahrq.gov/node/73288/psn-pdf
May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis
of serious events and incidents from the nation’s largest
event reporting database.
May 19, 2021
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and
incidents from the nation’s largest event reporting database. Pa…
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psnet.ahrq.gov/node/60316/psn-pdf
January 01, 2021 - Hospital-acquired Conditions Reduction Program, patient
safety, and Magnet designation in the United States.
May 13, 2020
Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety,
and Magnet designation in the United States. J Patient Saf. 2021;17(8):e1814-e1820.
doi:10.1…
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psnet.ahrq.gov/node/37040/psn-pdf
April 11, 2011 - The host hospital 24-hour underreferral rate: an
automated measure of call-center safety.
April 11, 2011
Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure
of call-center safety. Pediatrics. 2007;119(6):1139-1144.
https://psnet.ahrq.gov/issue/host-hospital-24-ho…
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hcup-us.ahrq.gov/db/state/siddist/ReportforCD_%20IssueinMDSID2006-2009.pdf
January 01, 2009 - The Maryland HCUP State Inpatient Databases (SID) for 2006-2009 contain problems with the
coding of discharge disposition (DISPuniform). Transfers to other acute care hospitals are
misidentified as transfers to other health facilities.
The source-provided patient disposition codes for the following were erroneou…
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist
Factors Associated with Effective Implementation of a Surgical Safety Checklist
Sara J. Singer, MBA, PhD, Principal Investigator
Team Members:
William Berry
Dante Foster Conley
Lizabeth Edmondson
Atul Gawa…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vv5kXtX5QDg2948gog66pd
December 07, 2021 - Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years: Updated Evidence Report and Systematic Review for the USPSTF
Screening and Interventions to Prevent Dental Caries
in Children Younger Than 5 Years
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Fo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part2.pdf
April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report, Part II
Medical Office Survey on Patient Safety Culture:
2018 User Database Report
Part II
Appendix A—Overall Results by Medical Office Characteristics
Appendix B—Overall Results by Respondent Characteristics
Prepared for:
Agency for …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPSTM)
Medical Office Survey:
2020 User Database Report
Part II
Appendix A—Results by Medical Office
Characteristics
Appendix B—Results by Respondent
Characteristics
Prepa…
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hcup-us.ahrq.gov/reports/methods/2019-04.pdf
January 01, 2019 - DIAGNOSIS CODES DEFINING DELIVERIES
Type of Code Code Description
Indicators of Delivery
ICD-10-
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hcup-us.ahrq.gov/db/nation/nis/NIS_Introduction_2007.jsp
January 01, 2007 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators … tables on commonly requested information — as well as national statistics based on the AHRQ Quality Indicators
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/QTJe7MfZ7cru9yYpxqx77m
April 01, 2008 - Screening for Chronic Obstructive Pulmonary Disease Using Spirometry: Recommendation Statement
Screening for Chronic Obstructive Pulmonary Disease Using
Spirometry: U.S. Preventive Services Task Force Recommendation
Statement
U.S. Preventive Services Task Force*
Description: New U.S. Preventive Services Task Force (…
-
psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of
Medicine at the…
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hcup-us.ahrq.gov/reports/statbriefs/sb48.pdf
March 01, 2008 - Statistical Brief #48: Violence-Related Stays in U.S. Hospitals, 2005
HEALTHCARE COST AND
UTILIZATION PROJECT Agen
Rese
March 2008
In 200
estima
relate
U.S.,
hospit
Nearly
relate
resulte
acts, w
the re
Maltre
4.2 pe
relate
The in
amon
maltre
higher
death
to viol
versus
Males
perce
f…
-
psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - Agitated Delirium Contributes to Missed Testing and
Delayed Diagnosis of Gastric Perforation
March 15, 2023
Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of
Gastric Perforation. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/agitated-delirium-contributes…
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - SPOTLIGHT CASE
Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head
Citation Text:
Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
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hcup-us.ahrq.gov/reports/statbriefs/sb50.pdf
April 01, 2008 - Clostridium Difficile-Associated Disease in U.S. Hospitals, 1993-2005
HEALTHCARE COST AND
UTILIZATION PROJECT Agen
Res
April 2008
Highli
The number o
discharges wi
than doubled
2005, a trend
considerably s
prior 8-year pe
which the num
increased by 7
CDAD primari
elderly patient
thi…