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  1. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
    June 04, 2014 - Study Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. Citation Text: Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…

  2. Emergency department contribution to the prescription opioid epidemic. | PSNet

    psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
    June 21, 2016 - Study Classic Emergency department contribution to the prescription opioid epidemic. Citation Text: Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.anneme…

  3. Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
    August 29, 2018 - Study Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. Citation Text: Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments …

  4. Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. | PSNet

    psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
    September 06, 2023 - Review Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. Citation Text: Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital s…

  5. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. | PSNet

    psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
    July 29, 2020 - Study Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. Citation Text: Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decisio…

  6. Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet

    psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
    November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…

  7. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet

    psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
    December 15, 2011 - Study Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? Citation Text: Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling…

  8. Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet

    psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
    January 27, 2016 - Study Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…

  9. Health care-associated infections among critically ill children in the US, 2013-2018. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2013-2018
    May 18, 2022 - Study Health care-associated infections among critically ill children in the US, 2013-2018. Citation Text: Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US, 2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatri…

  10. Electronic health record adoption and rates of in-hospital adverse events. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-adoption-and-rates-hospital-adverse-events
    August 02, 2023 - Study Electronic health record adoption and rates of in-hospital adverse events. Citation Text: Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. Copy C…

  11. Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. | PSNet

    psnet.ahrq.gov/issue/impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety
    May 17, 2017 - Study Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. Citation Text: Jang S, Jeong S, Kang E, et al. Impact of a natio…

  12. Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. | PSNet

    psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
    May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…

  13. | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/publications/search.html?page=10
    March 01, 2016 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 101 - 110 of 191 Publications displayed Find Publications by Keyword or To…

  14. The impact of hospital-acquired conditions on Medicare program payments. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
    November 18, 2016 - Study The impact of hospital-acquired conditions on Medicare program payments. Citation Text: Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01. Copy Citation …

  15. 031-Hand-Hygiene-Monitoring (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/031-hand-hygiene-monitoring.docx
    October 01, 2024 - Direct Observation: Covert1-4 Incorporates unknown or undercover (“secret shopper”) observers to facilitate accurate data collection Advantages Disadvantages · Minimizes the Hawthorne effect—the observer’s effect on the behavior being observed · Identifies trends and barriers to adherence · Includes possibility t…

  16. An epistemology of patient safety research: a framework for study design and interpretation. | PSNet

    psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
    February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…

  17. Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
    August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

  18. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

    psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
    June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Citation Text: Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans …

  19. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet

    psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
    August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

  20. AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/press-releases/sepsis-report-to-congress.html
    September 01, 2024 - AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care Report finds the emergence of COVID-19 significantly changed the epidemiology of sepsis Press Release Date: September 16, 2024 The number of sepsis-related inpatient stays at non-federal acute care hospitals in the United States increased …
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