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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37137/psn-pdf
    October 04, 2011 - Rural hospital patient safety systems implementation in two states. October 4, 2011 Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. https://psnet.ahrq.gov/issue/rural-hospital-patien…
  2. effectivehealthcare.ahrq.gov/sites/default/files/pdf/developing-consistent-useful-quality-improvement.pdf
    September 01, 2020 - Types of Intervention Effects Describe each effect of the intervention (e.g., hospitalization, visits … Secondary measures: any asthma hospitalization and any emergency department visit for asthma in the
  3. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary24/falls-prevention-in-older-adults-counseling-and-preventive-medication-2012
    December 15, 2010 - for serious harms, including clinically significant abnormal laboratory or other diagnostic testing, hospitalization … falls, gait and balance impairment, clinical history (for example, stroke, Parkinson disease, recent hospitalization … comprehensive falls assessment; self-reported musculoskeletal complaints (but not outpatient visits or hospitalizations
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
    April 02, 2020 - Similarly, certain patterns, such as unexpected hospitalizations after a primary care visit, can be … Error Patient-provider encounter Emergency department or primary care visit followed by unplanned hospitalization … Adverse events during hospitalization: results of a patient survey.
  5. www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012
    May 15, 2012 - requiring clinician follow-up that the men consider a "moderate or major problem"; approximately 1% require hospitalization … include persistent hematospermia (50.4%), hematuria (22.6%), fever (3.5%), urinary retention (0.4%), and hospitalization
  6. www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/impaired-visual-acuity-in-older-adults-screening-2016
    March 01, 2016 - CI, 0.73-1.18 NR by treatment group; narrative report of no significant increase in incidence of hospitalization … mineral supplements The large AREDS trial found zinc aassociated with significantly increased risk of hospitalization
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/prioritization-selection-of-harms.pdf
    February 01, 2018 - the FDA definition, serious harms are those that result in death, are life-threatening, result in hospitalization … or prolongation of an existing hospitalization, result in persistent or significant incapacity or ability
  8. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Similarly, certain patterns, such as unexpected hospitalizations after a primary care visit, can be … Error Patient-provider encounter Emergency department or primary care visit followed by unplanned hospitalization … Adverse events during hospitalization: results of a patient survey.
  9. hcup-us.ahrq.gov/reports/methods/2008_01.pdf
    January 01, 2008 - Microsoft Word - deliverable45_01.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Products: Email: …
  10. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016147-rachal-final-report-2009.pdf
    January 01, 2009 - Creating Online NICU Networks to Educate, Consult, and Team (Project CONNECT) Grant Final Report Grant ID: 1UC1HS016147 Creating Online NICU Networks to Educate, Consult, and Team (Project CONNECT) Inclusive Dates: 10/01/05 - 09/30/09 Principal Investigator: Valerie Rachal, RN, PhD Team…
  11. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
    October 01, 2017 - Module 2: How To Manage Change Training Guide Module Aim The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program. Module Goals The goals of Module 2 are to identify necessary actions to improve or…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
    June 02, 2025 - Module 2: How To Manage Change Module 2: How To Manage Change Module Aim The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program. Module Goals The goals of Module 2 are to identify necessary actions to improve …
  13. psnet.ahrq.gov/primer/leadership-role-improving-safety
    September 15, 2024 - Leadership Role in Improving Safety Citation Text: Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  14. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/index.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3. Grand Hospital Center Case 4. Suntown …
  15. hcup-us.ahrq.gov/db/state/siddist/siddist_filecompia.jsp
    August 01, 2006 - SID File Composition - Iowa An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  16. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …
  17. hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_1_6a.jsp
    January 01, 2006 - Exhibit 1.6 Discharge Status Distribution of Inpatient Hospital Stays by Discharge Status, 2006   Percent Distribution Routine 74% Long-term Care and Other Facilities 12% Home Health Care 9% In-hospital Deaths 2% Another Short-term Hospital 2% Against Medi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40924/psn-pdf
    February 23, 2015 - Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. February 23, 2015 O'Leary KJ, Sehgal NL, Terrell G, et al. Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. J Hosp Med. 2012;7(1):48-54. doi:10.1002/jhm.970. https://psne…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867649/psn-pdf
    January 01, 2015 - Improving Pain Management for Hospitalized Medical Patients. January 1, 2015 Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients Pain management presents complex patient safety concerns. Info…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35612/psn-pdf
    June 23, 2010 - Case-control analysis of the financial cost of medication errors in hospitalized patients. June 23, 2010 Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71. https://psnet.ahrq.gov/issue/case-control-…