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psnet.ahrq.gov/issue/time-series-analysis-health-care-associated-infections-new-hospital-all-private-rooms
July 31, 2019 - Study
Time-series analysis of health care–associated infections in a new hospital with all private rooms.
Citation Text:
McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections in a New Hospital With All Private Rooms. JAMA Intern Med. 2019.…
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psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
October 27, 2021 - Study
Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.
Citation Text:
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random variation in organisational performa…
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psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team
October 17, 2011 - Study
Classic
Hospital-wide code rates and mortality before and after implementation of a rapid response team.
Citation Text:
Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…
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psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - Study
Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.
Citation Text:
Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…
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psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review
December 03, 2014 - Study
Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study.
Citation Text:
Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …
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psnet.ahrq.gov/issue/overview-patient-safety-climate-va
January 10, 2017 - Study
An overview of patient safety climate in the VA.
Citation Text:
Hartmann CW, Rosen AK, Meterko M, et al. An overview of patient safety climate in the VA. Health Serv Res. 2008;43(4):1263-84. doi:10.1111/j.1475-6773.2008.00839.x.
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psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
March 05, 2014 - Study
Development and validation of a taxonomy of adverse handover events in hospital settings.
Citation Text:
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
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psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
August 12, 2014 - Review
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.
Citation Text:
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
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psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
June 29, 2022 - Study
Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis.
Citation Text:
Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…
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psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
May 17, 2018 - Study
Success in hospital-acquired pressure ulcer prevention: a tale in two data sets.
Citation Text:
Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health
January 30, 2019 - Study
Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals.
Citation Text:
Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…
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psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
June 14, 2023 - Commentary
An organization-specific and modifiable inpatient safety composite measure.
Citation Text:
Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005.
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical decision support.
Citation Text:
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
August 28, 2013 - Review
Emerging Classic
Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies.
Citation Text:
Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…
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psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection
September 15, 2010 - Study
How active resisters and organizational constipators affect health care–acquired infection prevention efforts.
Citation Text:
Saint S, Kowalski CP, Banaszak-Holl J, et al. How active resisters and organizational constipators affect health care-acquired infection prevention effort…
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psnet.ahrq.gov/issue/if-no-one-stops-me-ill-make-mistake-again-changing-prescribing-behaviours-through-feedback
July 01, 2017 - Study
'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.
Citation Text:
Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through …
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psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers
November 27, 2013 - Study
Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.
Citation Text:
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…
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psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-research-hospital-and-patient-safety-1996-2007
January 04, 2010 - Review
No safety, no quality: synthesis of research on hospital and patient safety (1996-2007).
Citation Text:
Tzeng H-M, Yin C-Y. No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). J Nurs Care Qual. 2007;22(4):299-306.
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psnet.ahrq.gov/issue/association-between-parent-comfort-english-and-adverse-events-among-hospitalized-children
June 29, 2022 - Study
Association between parent comfort with English and adverse events among hospitalized children.
Citation Text:
Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.…
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psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
May 19, 2021 - Study
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.
Citation Text:
Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…