U.S. Department of Health & Human Services
Patient Safety Indicators
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (4)
Diagnostic Errors (2)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (1)
Medication Safety (12)
Medical Complications (36)
Nonsurgical Procedural Complications (2)
Surgical Complications (35)
Transfusion Complications (2)
Psychological and Social Complications (2)
Australia and New Zealand (1)
North America (145)
Journal Article (131)
Newspaper/Magazine Article (5)
Press Release/Announcement (1)
Special or Theme Issue (3)
Web Resource (2)
Epidemiology of Errors and Adverse Events (71)
Active Errors (3)
Latent Errors (3)
Approach to Improving Safety
Patient Safety Indicators
Health Care Providers (55)
Health Care Executives and Administrators (152)
Non-Health Care Professionals (87)
Setting of Care
Residential Facilities (2)
Ambulatory Care (6)
Outpatient Surgery (1)
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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.
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.
Are Patient Safety Indicators related to widely used measures of hospital quality?
Isaac T, Jha AK. J Gen Intern Med. 2008;23:1373-1378.
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.
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.
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.
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.
Differences in the rates of patient safety events by payer: implications for providers and policymakers.
Spencer CS, Roberts ET, Gaskin DJ. Med Care. 2015;53:524-529.
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. 2015;22:19-28.
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.
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.
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.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.
Oakbrook Terrace, IL: The Joint Commission; September 2012.
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