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psnet.ahrq.gov/node/72552/psn-pdf
December 09, 2020 - Hospital-acquired SARS-CoV-2 infection: lessons for
public health.
December 9, 2020
Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public
health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399.
https://psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-less…
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psnet.ahrq.gov/node/44285/psn-pdf
November 06, 2015 - Hospital board oversight of quality and safety: a
stakeholder analysis exploring the role of trust and
intelligence.
November 6, 2015
Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis
exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.15. Major Factors that Inhibited Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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psnet.ahrq.gov/node/40255/psn-pdf
March 02, 2011 - Medication details documented on hospital discharge:
cross-sectional observational study of factors associated
with medication non-reconciliation.
March 2, 2011
Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-
sectional observational study of factors associated w…
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psnet.ahrq.gov/node/73192/psn-pdf
April 23, 2012 - The longer the shifts for hospital nurses, the higher the
levels of burnout and patient dissatisfaction.
April 23, 2012
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). 2013;31(11):2501-2509.
doi:10.137…
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psnet.ahrq.gov/node/838014/psn-pdf
September 07, 2022 - Effect of a rapid response team on the incidence of in-
hospital mortality.
September 7, 2022
Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital
mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005.
https://psnet.ahrq.gov/issue/effect…
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psnet.ahrq.gov/node/37794/psn-pdf
February 15, 2011 - Using staff perceptions on patient safety as a tool for
improving safety culture in a pediatric hospital system.
February 15, 2011
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving
Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
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psnet.ahrq.gov/node/47281/psn-pdf
August 22, 2018 - The dilemma of patient safety work: perceptions of
hospital middle managers.
August 22, 2018
Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle
managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325.
https://psnet.ahrq.gov/issue/dilemma-pati…
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psnet.ahrq.gov/node/47959/psn-pdf
May 15, 2019 - A quality improvement initiative to reduce safety events
among adolescents hospitalized after a suicide attempt.
May 15, 2019
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events
Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372.
…
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psnet.ahrq.gov/node/41632/psn-pdf
January 01, 2013 - Variation in safety culture dimensions within and between
US and Swiss Hospital units: an exploratory study.
December 31, 2012
Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and
between US and Swiss Hospital Units: an exploratory study. BMJ Qual Saf. 2013;22(1):32-41.
do…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
October 01, 2015 - Fact Sheet on Inpatient Quality Indicators
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool A.1a
Fact Sheet on Inpatient Quality Indicators
What Are the Inpatient Quality Indicators?
The Inpatient Quality Indicators (IQIs) are a set of 28 provider-level measures…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appf.pdf
January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix F
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2016, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality
U.S. Depar…
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/annual-summary/2008
January 01, 2008 - Detecting Med (Medication) Errors in Rural Hospitals Using Technology - 2008
Project Name
Detecting Med (Medication) Errors in Rural Hospitals Using Technology
Principal Investigator
Brown, Andrew
Organization
University of Mississippi Medical Center
Funding Mechanism…
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - Standard Deviations
December 1, 2009
Sabin JE. Standard Deviations. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/standard-deviations
Case Objectives
Understand the safety risks associated with patients being discharged against medical advice
(AMA).
Recognize safety risks associated with being part of a …
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psnet.ahrq.gov/issue/causes-medication-administration-errors-hospitals-systematic-review-quantitative-and
April 01, 2015 - Review
Causes of medication administration errors in hospitals: a systematic review of quantitative and
qualitative evidence.
Citation Text:
Keers RN, Williams SD, Cooke J, et al. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitativ…
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psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals
August 11, 2021 - Review
Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review.
Citation Text:
Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. …
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psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
March 11, 2020 - Study
What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.
Citation Text:
Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …
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psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
September 09, 2020 - Study
Fall prevention with the Smart Socks System reduces hospital fall rates.
Citation Text:
Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653.
Copy Citatio…
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psnet.ahrq.gov/issue/using-inpatient-portal-engage-families-pediatric-hospital-care
September 13, 2023 - Study
Using an inpatient portal to engage families in pediatric hospital care.
Citation Text:
Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070.
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