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psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
May 16, 2012 - October 19, 2022
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
January 05, 2012 - December 8, 2021
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital
January 03, 2017 - July 13, 2016
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse
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psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
July 14, 2010 - April 28, 2021
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
November 14, 2018 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse
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psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
April 16, 2010 - September 26, 2012
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
August 20, 2018 - February 12, 2020
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
February 15, 2011 - November 4, 2015
Reporting and using near-miss events to improve patient safety in diverse
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psnet.ahrq.gov/issue/perceived-patient-safety-culture-critical-care-transport-program
July 03, 2014 - April 28, 2021
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
May 28, 2015 - September 20, 2011
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
June 28, 2010 - November 10, 2015
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/systematic-review-patient-safety-interventions-dentistry
April 25, 2018 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse
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psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
June 10, 2020 - Study
Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach.
Citation Text:
Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…
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psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
November 02, 2022 - Study
Cost of health care-associated infections in the United States.
Citation Text:
Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845.
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united
October 09, 2019 - Study
Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States.
Citation Text:
Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…
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psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction
October 12, 2022 - Study
The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program.
Citation Text:
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of hospital readmissions reduction program. J Patie…
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psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - The Case for Patient Flow Management
November 1, 2011
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/case-patient-flow-management
The Case
A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse
wa…
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psnet.ahrq.gov/node/851926/psn-pdf
August 02, 2023 - Improving Patient Safety Culture – A Practical Guide.
August 2, 2023
London, UK: NHS England; July 2023.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
A strong patient safety culture needs nurturing to serve as a foundation for launching and sustaining
improvements. This toolkit pro…