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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
September 21, 2011 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Oakbrook Terrace, IL: The Joint Commission; January 2010.
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www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit
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May 2018
Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced hospital-acquired pressure injuries by more than 60 percent using an AHRQ toolkit. Preventing Pressure Ulcers in H…
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psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
October 25, 2013 - Book/Report
HealthGrades Sixth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2009.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips50.html
October 01, 2014 - Iowa Hospital Uses AHRQ Patient Safety Culture Survey to Improve Quality, Patient Safety
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December 2010
Jennie Edmundson Hospital, a 118-bed community hospital in Council Bluffs, Iowa, used information from AHRQ's Hospital Survey on Patient Safety Culture to support its effor…
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psnet.ahrq.gov/issue/redesigned-room-hospital-patients-may-feel-better-already
August 19, 2020 - Newspaper/Magazine Article
In redesigned room, hospital patients may feel better already.
Citation Text:
In redesigned room, hospital patients may feel better already. Kimmelman M. New York Times. August 21, 2014.
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psnet.ahrq.gov/node/43972/psn-pdf
November 03, 2015 - National hospital ratings systems share few common
scores and may generate confusion instead of clarity.
November 3, 2015
Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may
generate confusion instead of clarity. Health Aff (Millwood). 2015;34(3):423-430.
doi:10.13…
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psnet.ahrq.gov/node/38411/psn-pdf
December 16, 2014 - A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial.
December 16, 2014
Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease
rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87.
https://psnet.ahrq.gov/issue/reengine…
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psnet.ahrq.gov/node/44096/psn-pdf
November 03, 2015 - Incidence of "never events" among weekend admissions
versus weekday admissions to US hospitals: national
analysis.
November 3, 2015
Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus
weekday admissions to US hospitals: national analysis. BMJ. 2015;350:h1460. doi:10.1136…
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-about.html
March 01, 2018 - About the Toolkit Development
Toolkit for Reducing CAUTI in Hospitals
The toolkit was developed as part of a national implementation project to reduce CAUTI in hospitals. The 4-year project brought together subject matter experts and participating hospitals across the country.
Background
Catheter-associ…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-6-tables-5-7.pdf
June 02, 2025 - Section 6, Tables 5 to 7
Table 5: Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three Study Sites
Site
Eligibility Criteria/
Measure Numerator
Number of
Records Reviewed
N Agreed (%)
Kappa Statistic
Hospital #1
Timely antibiotics 2 100% 1.00
Antibiotics …
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psnet.ahrq.gov/node/861773/psn-pdf
January 31, 2024 - Hospital staff reports of coworker positive and
unprofessional behaviours across eight hospitals: who
reports what about whom?
January 31, 2024
Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional
behaviours across eight hospitals: who reports what about whom? BMJ…
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psnet.ahrq.gov/node/40853/psn-pdf
October 19, 2011 - Adoption of National Quality Forum safe practices by
magnet hospitals.
October 19, 2011
Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet®
Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e31822a71a7.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/74154/psn-pdf
December 08, 2021 - Assessment of requests for medication-related follow-up
after hospital discharge, and the relation to unplanned
hospital revisits, in older patients: a multicentre
retrospective chart review.
December 8, 2021
Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after
hospi…
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psnet.ahrq.gov/node/866636/psn-pdf
January 01, 2025 - Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals.
September 4, 2024
Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485.
https://psnet.ahrq.gov/is…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_2.pdf
October 01, 2016 - The team said they believe that comprehensive primary care can reduce
hospitalizations, limit emergency … The reports compare metrics for blood pressure control, HbA1c, hospitalizations, and
emergency room
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psnet.ahrq.gov/node/34827/psn-pdf
December 23, 2008 - Effects of weekend admission and hospital teaching
status on in-hospital mortality.
December 23, 2008
Cram P, Hillis SL, Barnett M, et al. Effects of weekend admission and hospital teaching status on in-
hospital mortality. Am J Med. 2004;117(3):151-7.
https://psnet.ahrq.gov/issue/effects-weekend-admission-and-hos…
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www.ahrq.gov/action-alliance/resources/measure-domains.html
April 01, 2025 - Resources by the CMS Patient Safety Structural Measure Domains
The Patient Safety Structural Measure is an attestation-based measure to assess whether hospitals demonstrate having a structure and culture that prioritizes patient safety. The Patient Safety Structural Measure is informed by the National Action P…
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hcup-us.ahrq.gov/datainnovations/grants.jsp
July 01, 2016 - Enhanced State Data Grants
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs
Email Updates
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hcup-us.ahrq.gov/db/vars/totchg_x/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/recombinant-factor-viia_disposition-comments.pdf
June 01, 2010 - Does the hospitalization weights apply to non-hospitalized
encounters? … unit of for the
Premier database is that of hospital cases—that is, any use of
rFVIIa during a given hospitalization … information
also indicates substantial variation in the dose of rFVIIa
dispensed during individual hospitalizations … information also indicates substantial variation in the
dose of rFVIIa dispensed during individual hospitalizations … Not all hospitalizations are reimbursed through a DRG payment
and many Medicaid programs reimburse for