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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…
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psnet.ahrq.gov/node/37487/psn-pdf
May 26, 2011 - Predicting computerized physician order entry system
adoption in US hospitals: can the federal mandate be
met?
May 26, 2011
Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system
adoption in US hospitals: Can the federal mandate be met? Int J Med Inform. 2007;77(8).
doi:1…
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psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00471.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief an…
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psnet.ahrq.gov/node/837764/psn-pdf
August 03, 2022 - Disparities in adverse event reporting for hospitalized
children.
August 3, 2022
Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J
Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049.
https://psnet.ahrq.gov/issue/disparities-adverse-event…
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psnet.ahrq.gov/node/44929/psn-pdf
February 08, 2017 - The Irish National Adverse Events Study (INAES): the
frequency and nature of adverse events in Irish
hospitals—a retrospective record review study.
February 8, 2017
Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and
nature of adverse events in Irish hospitals-a…
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psnet.ahrq.gov/node/867096/psn-pdf
November 06, 2024 - Hospital Differences in Adult Inpatient Stays with
Healthcare-Associated Infections, 2019 and 2021.
November 6, 2024
Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated
Infections, 2019 And 2021. Rockville, MD: Agency for Healthcare Research and Quality; Octo…
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psnet.ahrq.gov/node/39772/psn-pdf
December 21, 2014 - Communication discrepancies between physicians and
hospitalized patients.
December 21, 2014
Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch
Intern Med. 2010;170(15):1302-1307. doi:10.1001/archinternmed.2010.239.
https://psnet.ahrq.gov/issue/communication-discrep…
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psnet.ahrq.gov/node/867083/psn-pdf
November 06, 2024 - Patient-clinician diagnostic concordance upon hospital
admission.
November 6, 2024
Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl
Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330.
https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…
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psnet.ahrq.gov/node/41068/psn-pdf
September 29, 2017 - A review of verbal order policies in acute care hospitals.
September 29, 2017
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt
Comm J Qual Patient Saf. 2012;38(1):24-33.
https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
Verbal …
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psnet.ahrq.gov/node/46509/psn-pdf
May 17, 2018 - Impact of out-of-hours admission on patient mortality:
longitudinal analysis in a tertiary acute hospital.
May 17, 2018
Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal
analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;27(6):445-454. doi:10.1136/bmjqs-201…
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psnet.ahrq.gov/node/44818/psn-pdf
February 24, 2018 - Economic evaluation of interventions for prevention of
hospital acquired infections: a systematic review.
February 24, 2018
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital
Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381.
doi:10.1371/jour…
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psnet.ahrq.gov/node/36539/psn-pdf
March 03, 2011 - Sensitivity of routine system for reporting patient safety
incidents in an NHS hospital: retrospective patient case
note review.
March 3, 2011
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents
in an NHS hospital: retrospective patient case note review. B…
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psnet.ahrq.gov/node/72648/psn-pdf
January 20, 2021 - Nurse burnout predicts self-reported medication
administration errors in acute care hospitals.
January 20, 2021
Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication
administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13-23.
doi:10.1097/jhq.00000000000…
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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Differences in medication reconciliation interventions
between six hospitals: a mixed method study.
June 29, 2022
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions
between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
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psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - Mature rapid response system and potentially avoidable
cardiopulmonary arrests in hospital.
March 24, 2011
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable
cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-265.
https://psnet.ahrq.gov/issue/mat…
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psnet.ahrq.gov/node/74835/psn-pdf
February 16, 2022 - Discrepancy between emergency department admission
diagnosis and hospital discharge diagnosis and its
impact on length of stay, up-triage to the intensive care
unit, and mortality.
February 16, 2022
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department admission
diagnosis and hospital…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
January 01, 2019 - Third Annual CHSP CoE Workshop
ISSUE BRIEF Third Annual Workshop
of the Comparative
Health System Performance
Initiative
Executive Summary
The Agency for Healthcare Research and Quality (AHRQ) hosted the Comparative Health System
Performance (CHSP) Initiative’s third annual workshop on September 25, 2018, to …
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hcup-us.ahrq.gov/nassoverview.jsp
July 01, 2025 - NASS Overview
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
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psnet.ahrq.gov/node/35382/psn-pdf
October 05, 2005 - Rx for a better prescription. Hospital bans doctors from
using confusing medical abbreviations.
October 5, 2005
Hall J. Fredericksburg Times. September 25, 2005
https://psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical-
abbreviations
This article presents one hospital’s pro…