Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Eric G Smith; Shibei Zhao; Amy K Rosen

Study

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

August 1, 2012

Smith EG, Zhao S, Rosen AK. Int J Qual Health Care. 2012;24(4):321-9.

View more articles from the same authors.

Veterans with psychotic disorders appeared to experience certain patient safety problems (as measured by the AHRQ Patient Safety Indicators) at a higher rate than the general population.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Hospital safety climate and safety outcomes: is there a relationship in the VA?

March 10, 2010

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

April 1, 2009

Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.

March 25, 2009

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

April 21, 2010

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

September 6, 2006

Recruitment of hospitals for a safety climate study: facilitators and barriers.

April 30, 2008

An overview of patient safety climate in the VA.

April 9, 2008

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?

September 7, 2005

Comparing safety climate between two populations of hospitals in the United States.

October 14, 2009

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.

October 15, 2008

Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals.

November 18, 2009

Surgeons' disclosures of clinical adverse events.

July 27, 2016

Patient safety in geriatrics: a call for action.

December 15, 2010

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

Using patient safety indicators to estimate the impact of potential adverse events on outcomes.

January 30, 2008

Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals?

February 1, 2017

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes.

March 6, 2019

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

September 18, 2013

Development and testing of tools to detect ambulatory surgical adverse events.

June 5, 2013

Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions.

January 31, 2018

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

May 21, 2014

Failure-to-rescue: comparing definitions to measure quality of care.

October 10, 2007

Consensus building for development of outpatient adverse drug event triggers.

June 15, 2011

A systematic review of patient safety measures in adult primary care.

May 18, 2016

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

October 17, 2012

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

February 28, 2018

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.

February 11, 2015

Validity of selected patient safety indicators: opportunities and concerns.

October 27, 2010

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

November 10, 2010

Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.

September 12, 2007

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?

November 2, 2011

Applying trigger tools to detect adverse events associated with outpatient surgery.

March 16, 2011

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators.

June 4, 2014

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

August 24, 2005

Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators.

January 12, 2011

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.

February 27, 2008

Residency training at a crossroads: duty-hour standards 2010.

November 3, 2010

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.

June 24, 2015

Teaching hospital financial status and patient outcomes following ACGME duty hour reform.

September 26, 2012

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

April 27, 2011

Automated identification of postoperative complications within an electronic medical record using natural language processing.

August 31, 2011

Prolonged hospital stay and the resident duty hour rules of 2003.

January 13, 2010

Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients.

July 1, 2009

Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals.

October 17, 2018

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.

July 31, 2013

Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey.

September 26, 2007

Factors influencing providers' willingness to deprescribe medications.

December 1, 2021

Did duty hour reform lead to better outcomes among the highest risk patients?

November 4, 2009

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

Identifying organizational cultures that promote patient safety.

November 18, 2009

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes.

May 16, 2018

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Organizational readiness to change as a leverage point for improving safety: a national nursing home survey.

September 8, 2021

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

November 11, 2009

Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.

September 1, 2021

Assessing patient safety culture: a review and synthesis of the measurement tools.

November 8, 2006

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

October 12, 2011

Lessons learned from implementation of a computerized application for pending tests at hospital discharge.

December 22, 2010

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals.

September 25, 2019

Medical errors in US pediatric inpatients with chronic conditions.

September 26, 2012

Adverse event rates as measures of hospital performance.

September 21, 2011

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system.

January 16, 2013

Posthospital medication discrepancies: prevalence and contributing factors.

September 21, 2005

Hospital financial condition and the quality of patient care.

November 5, 2008

Nursing home safety: does financial performance matter?

May 18, 2011

Evaluation of drug interaction software to identify alerts for transplant medications.

March 6, 2005

Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator.

July 14, 2010

Building high reliability teams: progress and some reflections on teamwork training.

May 8, 2013

Use of electronic health records in US hospitals.

April 8, 2009

Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation.

September 19, 2018

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

January 30, 2005

Adverse drug events caused by serious medication administration errors.

August 8, 2012

Survey shows that at least some physicians are not always open or honest with patients.

February 22, 2012

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

June 13, 2012

An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review.

July 22, 2015

Patient safety climate in hospitals: act locally on variation across units.

June 30, 2010

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.

November 27, 2013

Errors associated with outpatient computerized prescribing systems.

July 13, 2011

Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.

March 6, 2005

We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare.

November 25, 2009

Team-training in healthcare: a narrative synthesis of the literature.

March 12, 2014

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.

October 7, 2009

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Residents report on adverse events and their causes.

January 4, 2006

"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.

April 3, 2005

Opioid prescribing decreases after learning of a patient's fatal overdose.

August 22, 2018

Inappropriate drug use in the elderly: a nationwide register-based study.

August 29, 2007

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

Effective communication with primary care providers.

October 1, 2014

Design and implementation of an automated email notification system for results of tests pending at discharge.

February 29, 2012

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

September 28, 2011

Nurses' satisfaction with medication administration point-of-care technology.

September 5, 2007

Professionalism in medicine: results of a national survey of physicians.

December 12, 2007

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

April 22, 2015

Views of practicing physicians and the public on medical errors.

March 27, 2005

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?

April 21, 2005

Thinking ethically about medical mistakes.

March 13, 2013

Related Resources

Hospital Compare.

May 13, 2021

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.

December 9, 2020

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients.

July 10, 2019

Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures.

February 13, 2019

Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness.

June 1, 2016

Missing clinical and behavioral health data in a large electronic health record (EHR) system.

May 11, 2016

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

November 26, 2014

Failure events in transition of care for surgical patients.

March 5, 2014

Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU.

February 5, 2014

Suicide attempts and completions on medical-surgical and intensive care units.

January 29, 2014

What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study.

January 8, 2014

Texting while doctoring: a patient safety hazard.

December 18, 2013

The effect of hospital organizational characteristics on postoperative complications.

December 11, 2013

A structured judgement method to enhance mortality case note review: development and evaluation.

December 4, 2013

What is known about adverse events in older medical hospital inpatients? A systematic review of the literature.

September 4, 2013

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA.

July 17, 2013

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

May 22, 2013

Economic measurement of medical errors using a hospital claims database.

May 1, 2013

What do hospital staff in the UK think are the causes of penicillin medication errors?

April 17, 2013

Impact of attending physician workload on patient care: a survey of hospitalists.

February 6, 2013

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

January 9, 2013

Supratherapeutic dosing of acetaminophen among hospitalized patients.

December 5, 2012

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

November 7, 2012

Drug shortage-associated increase in catheter-related blood stream infection in children.

October 31, 2012

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

October 24, 2012

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

October 24, 2012

Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.

October 10, 2012

Venous thromboembolism after trauma: a never event?

October 10, 2012

See More About The Topic

Hospitals

Quality and Safety Professionals

General Internal Medicine

Hospital Medicine

Mental Health Care (Psychiatry and Clinical Psychology)

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site