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Showing results for "hospitalization".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46334/psn-pdf
    August 09, 2017 - Maternal deaths at MetroWest hospital prompt state probes. August 9, 2017 Kowalczyk L. Boston Globe. July 29, 2017. https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted inves…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36360/psn-pdf
    October 28, 2010 - Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. October 28, 2010 Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2006;22(4):321-30. https://psnet.a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45110/psn-pdf
    May 11, 2016 - Hospital discharge: it's one of the most dangerous periods for patients. May 11, 2016 Rau J. Washington Post. April 29, 2016. https://psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients Transitions in care between inpatient and outpatient settings are an increasing concern for patient s…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39421/psn-pdf
    July 19, 2010 - Hospital RNs' experiences with disruptive behavior: a qualitative study. July 19, 2010 Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. https://psnet.ahrq.gov/issue/hospital-rns-experiences…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42867/psn-pdf
    February 13, 2014 - Medication regimen complexity and hospital readmission for an adverse drug event. February 13, 2014 Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. https://psnet.ahrq.gov/issue/medica…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38252/psn-pdf
    November 26, 2008 - Hospital ethical climate and teamwork in acute care: the moderating role of leaders. November 26, 2008 Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d. https://psnet.ahrq.go…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39245/psn-pdf
    January 20, 2010 - Adverse Events in Hospitals: Public Disclosure of Information About Events. January 20, 2010 Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 5, 2010. Report No. OEI-06-09-00360. https://psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-in…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47649/psn-pdf
    January 09, 2019 - ASH Clinical Practice Guidelines on Venous Thromboembolism. January 9, 2019 Washington DC; American Society of Hematology. https://psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism The American Society of Hematology produced a series of guidelines on prophylaxis for venous thromboemboli…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40292/psn-pdf
    March 16, 2011 - Patterns of unexpected in-hospital deaths: a root cause analysis. March 16, 2011 Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. https://psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis This l…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44301/psn-pdf
    November 06, 2015 - Hospital autopsy: endangered or extinct? November 6, 2015 Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601- 604. doi:10.1136/jclinpath-2014-202700. https://psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct This study reports the declining autopsy ra…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36965/psn-pdf
    February 15, 2011 - Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. February 15, 2011 McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. https://psnet.ahrq.gov/issue/strat…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42163/psn-pdf
    May 19, 2013 - Frontline hospital workers and the worker safety/patient safety nexus. May 19, 2013 Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192. https://psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypat…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37739/psn-pdf
    June 07, 2008 - Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. June 7, 2008 Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08- 283. https://psnet.ahrq.gov/issue/health-care-associa…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39902/psn-pdf
    December 29, 2014 - Clinical handover incident reporting in one UK general hospital. December 29, 2014 Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. https://psnet.ahrq.gov/issue/clinical-handover-incide…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41945/psn-pdf
    January 07, 2015 - Predictive combinations of monitor alarms preceding in- hospital code blue events. January 7, 2015 Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001. https://psnet.ahrq.gov/issue/predicti…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36976/psn-pdf
    June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. June 15, 2011 Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. https://psnet.ahrq.gov/issue/evaluation…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39126/psn-pdf
    November 25, 2009 - Challenges faced in providing safe care in rural perinatal settings. November 25, 2009 Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. MCN Am J Matern Child Nurs. 2009;34(6):365-371. doi:10.1097/01.NMC.0000363685.20315.0e. https://psnet.ahrq.gov/issue/challenges-faced-pro…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37564/psn-pdf
    June 12, 2008 - The medical emergency team system: a two hospital comparison. June 12, 2008 Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016. https://psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospit…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43060/psn-pdf
    June 27, 2016 - Medication administration errors in hospitals—challenges and recommendations for their measurement. June 27, 2016 McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014. https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…

  20. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…
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