Health services research
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Health services research · Feb 2009
Randomized Controlled Trial Multicenter StudyTranslating research into practice intervention improves management of acute pain in older hip fracture patients.
To test an interdisciplinary, multifaceted, translating research into practice (TRIP) intervention to (a) promote adoption, by physicians and nurses, of evidence-based (EB) acute pain management practices in hospitalized older adults, (b) decrease barriers to use of EB acute pain management practices, and (c) decrease pain intensity of older hospitalized adults. ⋯ The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.
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Health services research · Feb 2009
Validity of selected AHRQ patient safety indicators based on VA National Surgical Quality Improvement Program data.
To examine the criterion validity of the Agency for Health Care Research and Quality (AHRQ) Patient Safety Indicators (PSIs) using clinical data from the Veterans Health Administration (VA) National Surgical Quality Improvement Program (NSQIP). ⋯ PSI sensitivities and PPVs were moderate. For three of the five PSIs, AHRQ has incorporated our alternative, higher sensitivity definitions into current PSI algorithms. Further validation should be considered before most of the PSIs evaluated herein are used to publicly compare or reward hospital performance.