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psnet.ahrq.gov/node/37854/psn-pdf
May 28, 2014 - Workplace empowerment and magnet hospital
characteristics as predictors of patient safety climate.
May 28, 2014
Armstrong K, Laschinger H, Wong C. Workplace empowerment and magnet hospital characteristics as
predictors of patient safety climate. J Nurs Care Qua. 2009;24(1):55-62.
doi:10.1097/NCQ.0b013e31818f5506.
…
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psnet.ahrq.gov/node/35499/psn-pdf
February 22, 2010 - Daytime sleepiness, sleep habits and occupational
accidents among hospital nurses.
February 22, 2010
Suzuki K, Ohida T, Kaneita Y, et al. Daytime sleepiness, sleep habits and occupational accidents among
hospital nurses. J Adv Nurs. 2005;52(4):445-53.
https://psnet.ahrq.gov/issue/daytime-sleepiness-sleep-habits-an…
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psnet.ahrq.gov/node/43443/psn-pdf
August 13, 2014 - Feds stop public disclosure of many serious hospital
errors.
August 13, 2014
O'Donnell J.
https://psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
This newspaper article reports on changes to publicly reported data on the Hospital Compare Web site.
Several avoidable hospital-acquired …
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hcup-us.ahrq.gov/datainnovations/nj.jsp
October 01, 2010 - Enhanced State Data for Analysis and Tracking of Comparative Effectiveness Impact
An official website of the Department of Health & Human Services
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Careers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Experiences from the Frontline
Home The Program This Report Case Studies Toolkit Definitions
AHRQ SAFETY PROGRAM
FOR PERINATAL CARE:
EXPERIENCES FROM
THE FRONTLINE
AHRQ Pub. No. 17-0003-23-EF
May 2017
Home The Program This Report Case Studie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Experiences from the Frontline
Home The Program This Report Case Studies Toolkit Definitions
AHRQ SAFETY PROGRAM
FOR PERINATAL CARE:
EXPERIENCES FROM
THE FRONTLINE
AHRQ Pub. No. 17-0003-23-EF
May 2017
Home The Program This Report Case Studie…
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - that heart failure telemonitoring reduced all-cause mortality by 15%-40% and heart
failure-related hospitalizations
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Deaths Not Foretold: Are Unexpected Deaths Useful
Patient Safety Signals?
December 1, 2007
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
The Case
…
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psnet.ahrq.gov/node/42439/psn-pdf
November 23, 2016 - Guide to Patient and Family Engagement in Hospital
Quality and Safety.
November 23, 2016
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
Studies have shown that a surprisingly large proportion of hosp…
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psnet.ahrq.gov/node/836997/psn-pdf
April 27, 2022 - The effect of a transitional pharmaceutical care program
on the occurrence of ADEs after discharge from hospital
in patients with polypharmacy.
April 27, 2022
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on
the occurrence of ADEs after discharge from hospi…
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psnet.ahrq.gov/node/60911/psn-pdf
September 16, 2020 - Prevalence and characterisation of diagnostic error
among 7-day all-cause hospital medicine readmissions: a
retrospective cohort study.
September 16, 2020
Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-
cause hospital medicine readmissions: a retrospectiv…
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psnet.ahrq.gov/node/46303/psn-pdf
November 21, 2017 - How do hospital boards govern for quality improvement?
A mixed methods study of 15 organisations in England.
November 21, 2017
Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed
methods study of 15 organisations in England. BMJ Qual Saf. 2017;26(12):978-986. doi:10.1…
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psnet.ahrq.gov/node/867444/psn-pdf
January 08, 2025 - Medication errors and error chains involving high-alert
medications in a paediatric hospital setting: a qualitative
analysis of self-reported medication safety incidents.
January 8, 2025
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications
in a paediatric hospital…
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psnet.ahrq.gov/node/853239/psn-pdf
September 06, 2023 - In their own words: safety and quality perspectives from
families of hospitalized children with medical complexity.
September 6, 2023
Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of
hospitalized children with medical complexity. J Hosp Med. 2023;18(9):777-786…
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psnet.ahrq.gov/node/42114/psn-pdf
March 20, 2013 - Hospital-initiated transitional care interventions as a
patient safety strategy: a systematic review.
March 20, 2013
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;158(5 Pt 2):433-40. doi:10.7326/0003-4…
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psnet.ahrq.gov/node/38581/psn-pdf
August 27, 2013 - HealthGrades Sixth Annual Patient Safety in American
Hospitals Study.
August 27, 2013
Golden, CO: HealthGrades, Inc.; April 2009.
https://psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
This analysis of patient safety in Medicare patients from 2005–2007 concludes that while …
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psnet.ahrq.gov/node/37471/psn-pdf
February 17, 2011 - Delayed time to defibrillation after in-hospital cardiac
arrest.
February 17, 2011
Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N
Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467.
https://psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospit…
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psnet.ahrq.gov/node/60910/psn-pdf
January 01, 2021 - Hospital- and system-wide interventions for health care-
associated infections: a systematic review.
September 16, 2020
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated
infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529…
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psnet.ahrq.gov/node/41686/psn-pdf
September 19, 2012 - The association between sepsis and potential medical
injury among hospitalized patients.
September 19, 2012
Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among
hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556.
https://psnet.ahrq.gov/issue/as…
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psnet.ahrq.gov/node/41154/psn-pdf
November 26, 2014 - Impact of vendor computerized physician order entry in
community hospitals.
November 26, 2014
Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in
community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7.
https://psnet.ahrq.gov/issue/impact-vend…