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psnet.ahrq.gov/node/37356/psn-pdf
December 13, 2017 - Transforming Hospitals: Designing for Safety and Quality.
December 13, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
This video uses the experiences of three US hospitals to demonstrate how the quality …
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psnet.ahrq.gov/node/38715/psn-pdf
February 17, 2011 - Medicare nonpayment, hospital falls, and unintended
consequences.
February 17, 2011
Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N
Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963.
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-uni…
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psnet.ahrq.gov/node/60888/psn-pdf
January 01, 2021 - Chronic hospital nurse understaffing meets COVID-19: an
observational study.
September 9, 2020
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an
observational study. BMJ Qual Saf. 2021;8(8):639-647. doi:10.1136/bmjqs-2020-011512.
https://psnet.ahrq.gov/issue/chronic-ho…
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psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - Hospital at night: an organizational design that provides
safer care at night.
August 10, 2016
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care
at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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psnet.ahrq.gov/node/72578/psn-pdf
December 16, 2020 - Miscarriage treatment-related morbidities and adverse
events in hospitals, ambulatory surgery centers, and
office-based settings.
December 16, 2020
Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in
hospitals, ambulatory surgery centers, and office-based settings. J …
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psnet.ahrq.gov/node/46994/psn-pdf
October 31, 2018 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2017.
October 31, 2018
Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226.
doi:10.…
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psnet.ahrq.gov/node/837191/psn-pdf
May 25, 2022 - Adverse Events in Hospitals: A Quarter of Medicare
Patients Experienced Harm in October 2018.
May 25, 2022
Grimm CA. Washington DC: Office of the Inspector General; May 2022. Report no. OEI-06-18-00400.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-
october-2018
…
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psnet.ahrq.gov/node/836721/psn-pdf
March 09, 2022 - Sources of medication omissions among hospitalized
older adults with polypharmacy.
March 9, 2022
Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older
adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jgs.17629.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - Fall prevention with the Smart Socks System reduces
hospital fall rates.
September 7, 2022
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.
https://psnet.ahrq.gov/issue/fall-prevention…
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psnet.ahrq.gov/node/50385/psn-pdf
January 01, 2020 - How hospitals select their patient safety priorities: an
exploratory study of four Veterans Health Administration
hospitals.
September 25, 2019
George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care
Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…
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psnet.ahrq.gov/node/72554/psn-pdf
December 09, 2020 - Fall prevention implementation strategies in use at 60
United States hospitals: a descriptive study.
December 9, 2020
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):1000-1007. doi:10.1136/bmjqs-2019-…
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psnet.ahrq.gov/node/865335/psn-pdf
March 27, 2024 - The impact of digital hospitals on patient and clinician
experience: systematic review and qualitative evidence
synthesis.
March 27, 2024
Canfell OJ, Woods L, Meshkat Y, et al. The impact of digital hospitals on patient and clinician experience:
systematic review and qualitative evidence synthesis. J Med Internet …
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psnet.ahrq.gov/node/836776/psn-pdf
March 23, 2022 - Potentially inappropriate medications and their effect on
falls during hospital admission.
March 23, 2022
Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on
falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.1093/ageing/afab205.
https://psne…
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psnet.ahrq.gov/node/46647/psn-pdf
January 01, 2020 - How differences between manager and clinician
perceptions of safety culture impact hospital processes
of care.
February 14, 2018
Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of
Safety Culture Impact Hospital Processes of Care. J Patient Saf. 2020;16(4):289-293…
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psnet.ahrq.gov/node/42885/psn-pdf
January 22, 2014 - Medication error reporting in rural critical access
hospitals in the North Dakota Telepharmacy Project.
January 22, 2014
Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the
North Dakota Telepharmacy Project. Am J Health Syst Pharm. 2014;71(1):58-67. doi:10.2…
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psnet.ahrq.gov/node/45426/psn-pdf
August 24, 2016 - Handoffs, safety culture, and practices: evidence from the
hospital survey on patient safety culture.
August 24, 2016
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital
survey on patient safety culture. BMC Health Serv Res. 2016;16:254. doi:10.1186/s12913-016-1502…
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psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill
patients.
November 10, 2015
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill patients. Crit…
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psnet.ahrq.gov/node/36045/psn-pdf
November 10, 2011 - IHI announces that hospitals participating in 100,000
Lives Campaign have saved an estimated 122,300 lives.
November 10, 2011
https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-
estimated-122300-lives
In December 2004, the Institute for Healthcare Improvement (IHI) …
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-group-practice-linkage-file-tech-doc.pdf
January 01, 2022 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Group Practice Linkage File, Technical Documentation
Comparative Health System Performance Initiative:
Compendium of U.S. Health Systems, 2022,
Group Practice Linkage File,
Technical Documentation
Prepared for:
Agency …