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psnet.ahrq.gov/node/34688/psn-pdf
March 28, 2005 - Adverse drug events in hospitalized patients: excess
length of stay, extra costs, and attributable mortality.
March 28, 2005
Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of
stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6.
https://psne…
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2016.
June 13, 2018
Rockville, MD: Agency for Healthcare Research and Quality; June 2018.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-prelim…
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psnet.ahrq.gov/node/43707/psn-pdf
November 26, 2014 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2014.
November 26, 2014
Oakbrook Terrace, IL: The Joint Commission; November 2014.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2014
This Joint Commission annual…
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals.
January 2, 2017
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. 2009;35(3):139-45.
https://psn…
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psnet.ahrq.gov/node/42219/psn-pdf
July 22, 2013 - Parent perceptions of children's hospital safety climate.
July 22, 2013
Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual
Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727.
https://psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
Pat…
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psnet.ahrq.gov/node/38047/psn-pdf
January 31, 2011 - Single-patient rooms for safe patient-centered hospitals.
January 31, 2011
Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8).
doi:10.1001/jama.300.8.954.
https://psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
Providing patient-centered care continues …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/index.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Preventable Hospital and Emergency Department Visits to help nursing homes with electronic medical records identify residents at risk for ev…
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psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - Book/Report
Adverse Events Toolkit: Medical Record Review Methodology.
Citation Text:
Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00…
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…
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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - Newspaper/Magazine Article
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.
Citation Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…
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psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
June 01, 2016 - Newspaper/Magazine Article
Safety for all: integrated design for inpatient units.
Citation Text:
Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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www.ahrq.gov/news/newsroom/case-studies/cquips1302.html
December 01, 2012 - Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities
Search All Impact Case Studies
December 2012
Main Line Health System (MLH) in suburban Philadelphia has used AHRQ's "Hospital Survey on Patient Safety Culture" since 2009 in an ongoing effort to embed a reliable c…
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - Newspaper/Magazine Article
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed.
Citation Text:
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019.
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psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
January 15, 2009 - Study
Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan.
Citation Text:
Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Healt…
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psnet.ahrq.gov/issue/accelerating-adoption-safety-culture
July 12, 2023 - Newspaper/Magazine Article
Accelerating the adoption of a safety culture.
Citation Text:
Birk S. Accelerating the Adoption of a Safety Culture. Healthcare Executive. 2015;30(2):18-20, 22-24, 26.
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - Newspaper/Magazine Article
Medicare failed to investigate suspicious infection cases from 96 hospitals.
Citation Text:
Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/about.html
August 01, 2021 - CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
About Measure Specifications and Reporting
Previous Page Next Page
Table of Contents
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Introduction
Overview
About Measure Specifications and Reporting
Key Driver Diagram
Quality Improvement…
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
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hcup-us.ahrq.gov/db/vars/hosp_nis/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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