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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
February 03, 2011 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
June 14, 2017 - Commentary
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Citation Text:
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…
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psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline
September 02, 2009 - Study
Patient safety climate in 92 US hospitals: differences by work area and discipline.
Citation Text:
Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189…
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psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
October 19, 2022 - Study
A prevalence study of errors in opioid prescribing in a large teaching hospital.
Citation Text:
Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…
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psnet.ahrq.gov/node/46887/psn-pdf
May 03, 2018 - Financial incentives to reduce hospital-acquired
infections under alternative payment arrangements.
May 3, 2018
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under
Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515.
doi:10.1017/ice.201…
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psnet.ahrq.gov/node/854255/psn-pdf
October 04, 2023 - Empowering telemetry technicians and enhancing
communication to improve in-hospital cardiac arrest
survival.
October 4, 2023
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to
improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
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psnet.ahrq.gov/node/73462/psn-pdf
July 07, 2021 - Root cause analysis to identify contributing factors for
the development of hospital acquired pressure injuries.
July 7, 2021
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired
pressure injuries. J Tissue Viability. 2021;30(3):339-345. doi:10.1016/j.jtv.2021.04.00…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research-appendix-c.xlsx
January 01, 2024 - List of Evidence Tables
Category Evidence Table
Included systematic reviews Evidence Table C-1. Characteristics and outcomes of included systematic reviews.
Included primary studies Evidence Table C-2. Characteristics and outcomes of primary studies looking at staff-level initiative interventions.
Evidence Table C…
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psnet.ahrq.gov/node/36971/psn-pdf
September 12, 2011 - Hospital patient safety: characteristics of best-performing
hospitals.
September 12, 2011
Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J
Healthc Manag. 2007;52(3):188-204; discussion 204-5.
https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…
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psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
December 21, 2014 - Study
Classic
6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial.
Citation Text:
Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…
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psnet.ahrq.gov/issue/investigating-hospital-supervision-case-study-regulatory-inspectors-roles-potential-co
September 23, 2020 - Study
Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience.
Citation Text:
Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of R…
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psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
July 10, 2008 - Study
Fighting MRSA infections in hospital care: how organizational factors matter.
Citation Text:
Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section1_5.pdf
January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 18
EXHIBIT 1.5 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 small n…
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psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
August 03, 2017 - Study
The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.
Citation Text:
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. do…
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psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
December 12, 2014 - Review
Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis.
Citation Text:
Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-a…
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psnet.ahrq.gov/issue/contextual-factors-influencing-implementation-multifaceted-intervention-improve-teamwork-and
November 15, 2023 - Study
Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study.
Citation Text:
Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influenci…
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-common-inpatient-safety-outcomes-childrens-hospital-cohort
August 23, 2023 - Study
Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort.
Citation Text:
Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. do…
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psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
November 18, 2016 - Study
Reported medication errors after introducing an electronic medication management system.
Citation Text:
Redley B, Botti M. Reported medication errors after introducing an electronic medication management system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.…
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psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
November 02, 2022 - Study
Cost of health care-associated infections in the United States.
Citation Text:
Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845.
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…
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www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …