-
psnet.ahrq.gov/node/50535/psn-pdf
October 16, 2019 - Improving the quality of insulin prescribing for people
with diabetes being discharged from hospital
October 16, 2019
Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes
being discharged from hospital. BMJ Open Qual. 2019;8(3):e000655. doi:10.1136/bmjoq-2019-0…
-
psnet.ahrq.gov/node/44534/psn-pdf
April 25, 2016 - Addressing disease-related malnutrition in hospitalized
patients: a call for a national goal.
April 25, 2016
Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A
Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(10):469-473.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/72779/psn-pdf
February 24, 2021 - Implementation of simulation training during the COVID-
19 pandemic: a New York hospital experience.
February 24, 2021
Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York
hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097/sih.0000000000000535.
https://psn…
-
psnet.ahrq.gov/node/45089/psn-pdf
July 18, 2016 - Clinical outcomes and mortality associated with weekend
admission to psychiatric hospital.
July 18, 2016
Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission
to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192/bjp.bp.115.180307.
https://psnet.…
-
psnet.ahrq.gov/node/46088/psn-pdf
May 24, 2017 - Innovative use of the electronic health record to support
harm reduction efforts.
May 24, 2017
Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm
Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410.
https://psnet.ahrq.gov/issue/innovative-use-elect…
-
psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - Patient and family engagement in incident investigations:
exploring hospital manager and incident investigators'
experiences and challenges.
October 31, 2018
Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital
manager and incident investigators' experiences and c…
-
psnet.ahrq.gov/node/43197/psn-pdf
August 12, 2014 - An observational study: associations between nurse-
reported hospital characteristics and estimated 30-day
survival probabilities.
August 12, 2014
Tvedt C, Sjetne IS, Helgeland J, et al. An observational study: associations between nurse-reported
hospital characteristics and estimated 30-day survival probabilities…
-
psnet.ahrq.gov/node/40180/psn-pdf
February 02, 2011 - Large-scale deployment of the Global Trigger Tool across
a large hospital system: refinements for the
characterisation of adverse events to support patient
safety learning opportunities.
February 2, 2011
Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trigger Tool across a large
hospital…
-
psnet.ahrq.gov/node/47239/psn-pdf
October 24, 2018 - Effects of individual nurse and hospital characteristics on
patient adverse events and quality of care: a multilevel
analysis.
October 24, 2018
Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient
Adverse Events and Quality of Care: A Multilevel Analysis. J Nurs…
-
psnet.ahrq.gov/node/48122/psn-pdf
August 21, 2019 - ASHP national survey of pharmacy practice in hospital
settings: monitoring and patient education—2018.
August 21, 2019
Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital
settings: Monitoring and patient education-2018. Am J Health Syst Pharm. 2019;76(14):1038-1058.
do…
-
psnet.ahrq.gov/node/867018/psn-pdf
October 23, 2024 - Parents' perceptions of patient safety in paediatric
hospital care-a mixed-methods systematic review.
October 23, 2024
Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric
hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…
-
psnet.ahrq.gov/node/866245/psn-pdf
July 10, 2024 - Assessing nourishment problems at a hospital: what can
we learn from them?
July 10, 2024
Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what
can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745.
https://psnet.ahrq.gov/issue/assessin…
-
psnet.ahrq.gov/node/40061/psn-pdf
December 15, 2010 - Exploring relationships between hospital patient safety
culture and adverse events.
December 15, 2010
Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and
adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1a00.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/47715/psn-pdf
June 05, 2019 - Making infection prevention and control everyone's
business? Hospital staff views on patient involvement.
June 5, 2019
Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital
staff views on patient involvement. Health Expect. 2019;22(4):650-656. doi:10.1111/hex.12874.
…
-
psnet.ahrq.gov/node/46891/psn-pdf
December 21, 2018 - Day of discharge does not impact hospital readmission
after major cardiac surgery.
December 21, 2018
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major
Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Sustaining improvement of hospital-wide initiative for
patient safety and quality: a systematic scoping review.
February 1, 2023
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and
quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
-
psnet.ahrq.gov/node/866434/psn-pdf
August 07, 2024 - Measuring the overall development of patient safety in a
new hospital using trigger tools.
August 7, 2024
Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new
hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10.1093/intqhc/mzae064.
https://psn…
-
hcup-us.ahrq.gov/reports/infographics/AdverseDrugEventsInfographic.pdf
February 12, 2015 - HCUP Adverse Drug Events Infographic
0 10 20 30 40 50 60 70 80
Adverse Drug Events
Occurring in U.S. Hospitals
Adverse drug events (ADEs) are the most common nonsurgical adverse events that occur in hospitals.
New data from all payers in 32 States in HCUP show characteristics of the four most frequent specific
…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
-
digital.ahrq.gov/sites/default/files/docs/publication/p20hs014903-reiter-final-report-2006.pdf
January 01, 2006 - Planning the Implementation of HIT in a Rural Setting - Final Report
1
Planning the Implementation of Health Information
Technology (HIT) in a Rural Setting
Principal Investigator:
William M. Reiter, MD, FACP
Project Team:
Lau…