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psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
November 11, 2020 - Study
Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.
Citation Text:
Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):10…
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psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction
February 26, 2020 - Study
Emerging Classic
Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy.
Citation Text:
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves p…
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psnet.ahrq.gov/issue/prevalence-and-causes-diagnostic-errors-hospitalized-patients-under-investigation-covid-19
September 23, 2020 - Study
Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.
Citation Text:
Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 202…
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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - Book/Report
The Economic Measurement of Medical Errors.
Citation Text:
The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010.
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psnet.ahrq.gov/issue/improving-hospital-infant-safe-sleep-compliance-using-safety-prevention-bundle-methodology
March 09, 2022 - Study
Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.
Citation Text:
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. d…
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psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
June 02, 2021 - Study
Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey.
Citation Text:
Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national surv…
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psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
May 19, 2021 - Study
Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.
Citation Text:
Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…
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psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units
October 08, 2013 - Study
Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.
Citation Text:
Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BM…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips93.html
October 01, 2014 - Missouri Hospitals Improve Medication Reconciliation Process Using AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Primaris, the Missouri Quality Improvement Organization (QIO), worked with hospitals in the State to i…
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psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
August 07, 2013 - Study
Adoption of health information technology for medication safety in US hospitals, 2006.
Citation Text:
Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…
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psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health
December 20, 2023 - Study
Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.
Citation Text:
Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…
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psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-tertiary-hospital
January 04, 2012 - Study
A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital.
Citation Text:
Bagshaw SM, Mondor EE, Scouten C, et al. A survey of nurses' beliefs about the medical emergency team system in a canadian tertiary hospital. Am J Crit Care. 2010;1…
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psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
October 31, 2014 - Study
Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012.
Citation Text:
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…
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psnet.ahrq.gov/issue/clinical-profile-hospitalized-children-provided-urgent-assistance-medical-emergency-team
February 01, 2011 - Study
Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team.
Citation Text:
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…
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psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
January 18, 2013 - Study
Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?
Citation Text:
Rosen AK, Itani KMF, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration. Med Care. 2011;50(…
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hcup-us.ahrq.gov/db/state/siddist/siddist_filecompmo.jsp
June 01, 2024 - SID File Composition - Missouri
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
January 22, 2014 - Study
How hospital leaders contribute to patient safety through the development of trust.
Citation Text:
Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.00000000000000…
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psnet.ahrq.gov/node/39968/psn-pdf
November 03, 2010 - Pharmacists' interventions in prescribing errors at
hospital discharge: an observational study in the context
of an electronic prescribing system in a UK teaching
hospital.
November 3, 2010
Abdel-Qader DH, Harper L, Cantrill JA, et al. Pharmacists' interventions in prescribing errors at hospital
discharge: an obs…
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psnet.ahrq.gov/node/45397/psn-pdf
August 10, 2016 - Many well-known hospitals fail to score high in Medicare
rankings.
August 10, 2016
Rau J. National Public Radio. July 27, 2016.
https://psnet.ahrq.gov/issue/many-well-known-hospitals-fail-score-high-medicare-rankings
Although quality rating systems have yet to receive approval across the health care industry, they…
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psnet.ahrq.gov/node/60065/psn-pdf
March 18, 2020 - Safety in Numbers: Hospital Performance on Leapfrog’s
Surgical Volume Standard Based on Results of the 2019
Leapfrog Hospital Survey.
March 18, 2020
Washington DC: Leapfrog Group; 2020.
https://psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-
based-results-2019
Surgica…