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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37700/psn-pdf
    October 25, 2013 - HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study. October 25, 2013 Golden, CO: HealthGrades, Inc.; April 2008. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study This analysis of patient safety in Medicare patients from 20…

  2. Fl15Loincbriefdescription (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/FL15LOINCbriefdescription.pdf
    April 04, 2011 - LOINC Regenstrief Institute’s Logical Observation Identifiers, Names and Codes (LOINC®) was selected to standardize the thirty data elements across the participating sites. Started in 1995, LOINC® has been adopted by the Office of National Coordinator for Healthcare IT as a viable standard for information exc…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44178/psn-pdf
    July 03, 2016 - A trigger tool to detect harm in pediatric inpatient settings. July 3, 2016 Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. https://psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatien…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45538/psn-pdf
    December 14, 2016 - Liquid medication errors and dosing tools: a randomized controlled experiment. December 14, 2016 Yin S, Parker RM, Sanders LM, et al. Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. Pediatrics. 2016;138(4):e20160357. https://psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-to…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44743/psn-pdf
    December 22, 2017 - Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. December 22, 2017 van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observ…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46782/psn-pdf
    January 24, 2019 - Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. January 24, 2019 Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8. doi:10.1…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38199/psn-pdf
    March 03, 2011 - Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. March 3, 2011 Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. BMJ. 2008;33…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39107/psn-pdf
    May 25, 2010 - Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals. May 25, 2010 Rivard PE, Elixhauser A, Christiansen CL, et al. Testing the Association Between Patient Safety Indicators and Hospital Structural Characteristics in VA and Nonfederal Hosp…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…

  11. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapa.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix A. Project Goals and Objectives Before they meet regularly, patient advisory councils need to establish project goals. Examples of project goals and objectives for small and large patient advisory councils follow. A. Scope for a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866104/psn-pdf
    June 12, 2024 - When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. June 12, 2024 Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Manag Healthc Policy. 2024;17:1361-13…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37499/psn-pdf
    January 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci…

  14. Table 3. Testing Results in New York State Medicaid (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-section-6a-table-3.pdf
    January 01, 2012 - Table 3. Testing Results in New York State Medicaid Table 3. Testing Results in New York State Medicaid Testing results for Teratogen Measures using New York State 2012 Medicaid Linked Mother Baby Records Measures Deliveries Number Percent A. Class X medications within the 9 months prior to delivery. (Lower is…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39314/psn-pdf
    December 21, 2014 - Patient characteristics and the occurrence of never events. December 21, 2014 Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73177/psn-pdf
    April 28, 2021 - The association of nursing home characteristics and quality with adverse events after a hospitalization. April 28, 2021 Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200. doi:10.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852444/psn-pdf
    August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. August 16, 2023 Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Int J Qual Health Care. 202…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45872/psn-pdf
    April 13, 2017 - Finding diagnostic errors in children admitted to the PICU. April 13, 2017 Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059. https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41284/psn-pdf
    May 04, 2012 - Determinants of adverse events in vascular surgery. May 4, 2012 Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045. https://psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery…
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