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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
November 23, 2016 - Book/Report
America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015.
Citation Text:
America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Oakbrook Terrace, IL: The Joint Commission; November 2015.
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psnet.ahrq.gov/issue/longer-shifts-hospital-nurses-higher-levels-burnout-and-patient-dissatisfaction
August 15, 2012 - Study
The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction.
Citation Text:
Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff (Millwood). …
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psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
June 14, 2017 - Newspaper/Magazine Article
Children's Hospital investigated five patient deaths from deadly fungal disease in 2009.
Citation Text:
Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…
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psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
July 22, 2020 - Book/Report
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.
Citation Text:
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Thompson WC Jr. New York, NY: Off…
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psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
February 01, 2017 - Study
Using an interactive voice response system to improve patient safety following hospital discharge.
Citation Text:
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
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psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
February 01, 2023 - Book/Report
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018.
Citation Text:
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips98.html
October 01, 2014 - New Mexico Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots
Search All Impact Case Studies
May 2012
Five New Mexico hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), the New Mexico Medical Review Ass…
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/node/47150/psn-pdf
November 21, 2018 - Investigating the association of alerts from a national
mortality surveillance system with subsequent hospital
mortality in England: an interrupted time series analysis.
November 21, 2018
Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national mortality
surveillance system with …
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psnet.ahrq.gov/node/38536/psn-pdf
February 03, 2011 - Association between hospital-reported Leapfrog Safe
Practices scores and inpatient mortality.
February 3, 2011
Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13).
doi:10.1001/jama.2009.423.
https://psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-an…
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psnet.ahrq.gov/node/40449/psn-pdf
December 21, 2014 - Reduction in hospital mortality over time in a hospital
without a pediatric medical emergency team: limitations
of before-and-after study designs.
December 21, 2014
Joffe AR, Anton NR, Burkholder SC. Reduction in hospital mortality over time in a hospital without a
pediatric medical emergency team: limitations of …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0
Agency for Healthcare Research and Quality (AHRQ)
Surveys on Patient Safety Culture™ (SOPS®)
Hospital Survey Version 2.0
Background and Information for Translators
August 2023
Purpose and Use of This…
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psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health
June 26, 2024 - Study
Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals.
Citation Text:
Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Admini…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit1_4.pdf
January 01, 2009 - 1.4A
HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 17
EXHIBIT 1.4 Discharge Status
Routine
72%
Long-term Care
and Other
Facilities
13%
Home Health
Care
10%
Another Short-
term Hospital
2%
In-hospital
Deaths
2% Against Medical
Advice
1%
Note: Excludes a s…
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psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review
April 13, 2022 - Review
Approaches for improving continuity of care in medication management: a systematic review.
Citation Text:
Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. d…
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psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Study
Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
Citation Text:
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - Study
Prevalence and nature of adverse medical device events in hospitalized children.
Citation Text:
Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058.
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psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states
May 13, 2020 - Study
Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation.
Citation Text:
Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…
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psnet.ahrq.gov/issue/assessing-dangers-hospital-stay-patients-developmental-disability-england-2017-19
October 26, 2022 - Study
Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19.
Citation Text:
Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. Health Aff (Millwood). 2022;41(10):1…
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psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
March 02, 2011 - Study
Using inpatient hospital discharge data to monitor patient safety events.
Citation Text:
Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107.
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…