U.S. Department of Health & Human Services
Patient Safety Indicators
PATIENT SAFETY PRIMERS
Device-related Complications (4)
Diagnostic Errors (2)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (1)
Medication Safety (12)
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Surgical Complications (35)
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Epidemiology of Errors and Adverse Events (66)
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Latent Errors (3)
Approach to Improving Safety
Patient Safety Indicators
Health Care Providers (54)
Health Care Executives and Administrators (148)
Non-Health Care Professionals (85)
Setting of Care
Residential Facilities (2)
Ambulatory Care (6)
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Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Oakbrook Terrace, IL: The Joint Commission; September 2011.
Patient Safety Indicators Download.
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; March 2012.
Automated identification of postoperative complications within an electronic medical record using natural language processing.
Murff HJ, FitzHenry F, Matheny ME, et al. JAMA. 2011;306:848-855.
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.
The relationship between patients' perception of care and measures of hospital quality and safety.
Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.
Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.
Romano PS, Mull HJ, Rivard PE, et al. Health Serv Res. 2009;44:182-204.
Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.
Wachter RM, Flanders SA, Fee C, Pronovost PJ. Ann Intern Med. 2008;149:29-32.
Are Patient Safety Indicators related to widely used measures of hospital quality?
Isaac T, Jha AK. J Gen Intern Med. 2008;23:1373-1378.
Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?
Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522.
How often are potential patient safety events present on admission?
Houchens RL, Elixhauser A, Romano PS. Jt Comm J Qual Patient Saf. 2008;34:154-163.
Quality improvement implementation and hospital performance on patient safety indicators.
Weiner BJ, Alexander JA, Baker LC, Shortell SM, Becker M. Med Care Res Rev. 2006;63:29-57.
A national profile of patient safety in U.S. hospitals.
Romano PS, Geppert JJ, Davies S, Miller MR, Elixhauser A, McDonald KM. Health Aff (Millwood). 2003;22:154-166.
Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.
Parsons JK, Messer K, Palazzi K, Stroup S, Chang D. JAMA Surg. 2014;149:845-851.
Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.
Boyd AD, Yang YM, Li J, et al. J Am Med Inform Assoc. 2014 Sep 3; [Epub ahead of print].
Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study.
Borghans I, Hekkert KD, den Ouden L, et al. BMJ Open. 2014;4:e004773.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.
Oakbrook Terrace, IL: The Joint Commission; October 2013.
Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.
Pronovost PJ, Demski R, Callender T, et al. Jt Comm J Qual Patient Saf. 2013;39:531-544.
National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.
Sukumar S, Roghmann F, Trinh VQ, et al. BMJ Open. 2013;3:e002843.
Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.
Austin JM, D'Andrea G, Birkmeyer JD, et al. J Patient Saf. 2014;10:64-71.
Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.
Rosen AK, Loveland S, Shin M, et al. Med Care. 2013;51:37-44.
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