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psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
June 22, 2022 - Download Citation
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Analysis of hospital-level … readmission rates and variation in adverse events among patients with pneumonia in the United States … June 22, 2022
Quality and safety outcomes of a hospital merger following a full integration … at a safety net hospital. … September 29, 2021
Comparison of quality measures from US hospitals with physician vs
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psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
October 11, 2023 - The program resulted in a decrease in overall opioid use as well as a reduction in coprescribing of … 2020
Validation of new ICD-10-based patient safety indicators for identification of in-hospital … a tertiary pediatric hospital. … February 15, 2011
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Specialty Hospitals … Facility and Group Administrators
Hospital Pharmacy
Ordering/Prescribing Errors
Opiates/
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - This study evaluated training of hospital nurses in Belgium with a standardized nurse–physician communication … September 20, 2011
Drug administration errors in an institution for individuals with … October 18, 2023
Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … May 25, 2011
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Hospitals
Health Care … Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
October 19, 2022 - between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital … June 10, 2020
Sustaining reductions in catheter related bloodstream infections in Michigan … September 28, 2022
What causes medication administration errors in a mental health hospital … January 23, 2019
Medication-administration errors in an urban mental health hospital: … February 18, 2011
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Hospitals
Internal
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psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid
November 30, 2022 - October 19, 2022
Families as partners in hospital error and adverse event surveillance … January 12, 2022
Do professionalism lapses in medical school predict problems in residency … February 2, 2022
Quality and safety in hospital pediatrics during COVID-19: a national … July 29, 2020
How the pandemic is reshaping hospital architecture and design. … May 6, 2020
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General Hospitals
Health
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psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
September 19, 2018 - Study
Are informed policies in place to promote safe and usable EHRs? … in-hospital adverse drug events. … August 3, 2017
The effect of health information technology on quality in U.S. hospitals … Blumenthal, MD, MPP
July 1, 2012
Use of electronic health records in US hospitals … July 30, 2008
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Hospitals
Physicians
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psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
January 26, 2022 - This study sought to identify risk factors for error in nephrology patients in the ambulatory care setting … bar-code-assisted medication administration in hospitals. … lists reported by patients in personal health records: a prospective cohort study in a hospital setting … January 7, 2015
Medication-related hospital readmissions within 30 days of discharge: … Hazards in delivery of surgical instruments.
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psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
August 01, 2018 - Standardizing concentrations of adult drug infusions in Indiana. … Standardizing concentrations of adult drug infusions in Indiana. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 16, 2008
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Hospitals
Quality
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - Simulation is an active learning methodology being used in hospitals to improve patient care. … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 23, 2009
Families as partners in hospital error and adverse event surveillance … in undergraduate nursing students: a systematic review. … October 31, 2012
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Hospitals
Educators
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psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive
November 21, 2016 - Study
Organizational and safety culture in Canadian intensive care units: relationship … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive … Canadian hospitals: results of a multicentre observational study. … October 31, 2011
Adverse events after transition from ICU to hospital ward: a multicenter
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psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
January 28, 2010 - In this study, rapid response teams admitted more than half of patients transferred from the wards … Download Citation
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Reducing in-hospital … cardiac arrests and hospital mortality by introducing a medical emergency team. … May 31, 2023
We are not there yet: a qualitative system probing study of a hospital … 2011
Impact of computerized physician order entry on medication prescription errors in
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psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
June 13, 2011 - Study
Drug error in anaesthetic practice: a review of 896 reports from the Australian … April 6, 2011
Families as partners in hospital error and adverse event surveillance. … with hospital mortality. … November 2, 2010
Survey of medication documentation at hospital discharge: implications … June 13, 2011
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
August 04, 2021 - hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023
Human factors and simulation in emergency medicine. … a multistate hospital network--13 academic medical centers, April-June 2020. … April 24, 2018
Using in situ simulation to improve in-hospital cardiopulmonary resuscitation … March 4, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral
January 25, 2023 - the Same Author(s)
Determination of unnecessary blood transfusion by comprehensive 15-hospital … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 20, 2019
Validity of AHRQ patient safety indicators derived from ICD-10 hospital … December 18, 2014
Racial and ethnic bias in the diagnosis of alcohol use disorder in … July 2, 2008
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Hospitals
Pharmacists
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psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
May 18, 2022 - with failures in communication during the event. … July 2, 2019
Prevalence of adverse events in the hospitals of five Latin American countries … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. … January 2, 2009
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Hospitals
Physicians
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psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
June 01, 2022 - An integrative review: fatigue among nurses in acute care settings. … a multistate hospital network--13 academic medical centers, April-June 2020. … March 26, 2015
Performance-based payment incentives increase burden and blame for hospital … February 10, 2015
Nurse staffing and education and hospital mortality in nine European … April 9, 2008
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Hospitals
Nurses
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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - Long-Term Complications Admission
Rate
• PQI 05 - Chronic Obstructive Pulmonary Disease (COPD)
or Asthma in … Tract Infection Admission Rate
• PQI 14 - Uncontrolled Diabetes Admission Rate
• PQI 15 - Asthma in … Indicators
Patient Safety Indicators (PSls)
Hospital-Level Indicators … • PSI 02 - Death Rate in … Pneumothorax Rate
• PSI 07 - Central Venous Catheter-Related Blood
Stream Infection Rate
• PSI 08 - In-Hospital
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psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
March 14, 2022 - October 4, 2023
Medication-related hospital readmissions within 30 days of discharge: … effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital … in patients with polypharmacy. … October 4, 2011
Anticoagulant medication errors in hospitals and primary care: a cross-sectional … August 20, 2018
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Hospitals
Facility
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Three hospitals in one health system implemented a voluntary error reporting system for clinicians … the Children's Hospitals' Solutions for Patient Safety Collaborative. … Acute Hospital Care Units
April 26, 2023
Factors associated with missed nursing … September 27, 2017
Interruptions in clinical nursing practice. … September 24, 2016
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Hospitals
Facility
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psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
January 12, 2022 - June 21, 2016
How do hospital boards govern for quality improvement? … A mixed methods study of 15 organisations in England. … September 23, 2015
Prospects for comparing European hospitals in terms of quality and … Computerized Provider Order Entry
March 15, 2025
Factors influencing in-hospital … Overdose
April 1, 2003
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Hospitals