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  1. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation a…

  2. An intervention to decrease catheter-related bloodstream infections in the ICU. | PSNet

    psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
    June 16, 2011 - Study Classic An intervention to decrease catheter-related bloodstream infections in the ICU. Citation Text: Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…

  3. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet

    psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
    November 10, 2021 - Study Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Citation Text: Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…

  4. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
    July 29, 2020 - Study Classic Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. Citation Text: Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …

  5. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet

    psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
    February 24, 2011 - Study Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. Citation Text: Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…

  6. Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet

    psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
    January 23, 2019 - Study Classic Increases in drug and opioid overdose deaths—United States, 2000–2015. Citation Text: Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…

  7. Measuring safety in older adult care homes: a scoping review of the international literature. | PSNet

    psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
    June 30, 2021 - Review Measuring safety in older adult care homes: a scoping review of the international literature. Citation Text: Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmj…

  8. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
    July 21, 2017 - Review Emerging Classic Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. Citation Text: McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …

  9. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet

    psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
    July 14, 2021 - Study The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. Citation Text: Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…

  10. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet

    psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
    December 02, 2014 - Study Using a network organisational architecture to support the development of Learning Healthcare Systems. Citation Text: Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27…

  11. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet

    psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
    April 04, 2018 - Study Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Citation Text: Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 201…

  12. Patients' perspectives of diagnostic error: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
    February 10, 2012 - Study Patients' perspectives of diagnostic error: a qualitative study. Citation Text: Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. Copy Citation Forma…

  13. U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Osteoporosis to Prevent Fractures (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/osteoporosis-screening-final-rec-bulletin.pdf
    January 14, 2025 - U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Osteoporosis to Prevent Fractures 1 www.uspreventiveservicestaskforce.org U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Osteoporosis to Prevent Fractures Screening for osteoporosis can help…

  14. Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). | PSNet

    psnet.ahrq.gov/issue/patient-safety-general-practice-during-covid-19-descriptive-analysis-38-countries-pricov-19
    November 16, 2022 - Study Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Citation Text: Van Poel E, Vanden Bussche P, Collins C, et al. Patient safety in general practice during COVID-19: a descriptive analysis in 38 countries (PRICOV-19). Fam Pract. …

  15. Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. | PSNet

    psnet.ahrq.gov/issue/developing-high-value-care-programme-bottom-programme-faculty-resident-improvement-projects
    December 16, 2020 - Study Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. Citation Text: Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of…

  16. Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review. | PSNet

    psnet.ahrq.gov/issue/economic-evaluations-interventions-prevent-and-control-health-care-associated-infections
    May 18, 2022 - Review Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review. Citation Text: Rice S, Carr K, Sobiesuo P, et al. Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic revie…

  17. Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
    April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…

  18. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
    December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …

  19. Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. | PSNet

    psnet.ahrq.gov/issue/computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency
    December 17, 2010 - Study Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. Citation Text: Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate prescrib…

  20. Task Force Issues Draft Recommendation Statement on Screening for Osteoporosis to Prevent Fractures; Screening for osteoporosis can help prevent fractures in women 65 years and older and in younger women who have gone through menopause and are at increased risk (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/osteoporosis-screening-draft-rec-bulletin.pdf
    July 08, 2024 - Task Force Issues Draft Recommendation Statement on Screening for Osteoporosis to Prevent Fractures; Screening for osteoporosis can help prevent fractures in women 65 years and older and in younger women who have gone through menopause and are at increased risk 1 www.uspreventiveservicestaskforce.org Task F…
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