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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs.
December 19, 2018
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On
Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836-1844.
doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Can patient safety incident reports be used to compare
hospital safety? Results from a quantitative analysis of
the English National Reporting and Learning System data.
June 21, 2016
Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hospital
Safety? Results from a Quanti…
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digital.ahrq.gov/principal-investigator/usher-michael-g
January 01, 2023 - Usher, Michael G.
Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes - Final Report
Citation
Usher M. Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes – Final Report. (Prepared by University of Minnesota under Grant No. R0…
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www.ahrq.gov/hai/tools/surgery/about.html
December 01, 2017 - About the Toolkit Development
The toolkit was developed as part of the AHRQ Safety Program for Surgery, a national implementation project to reduce surgical site infections and other complications in hospitals. The 3-year project brought together subject matter experts and participating hospitals across the co…
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Program Implementation
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary
Report Organization
Program Implementation
Program Impact
What We…
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psnet.ahrq.gov/node/41071/psn-pdf
February 01, 2013 - Prescription and transcription errors in multidose-
dispensed medications on discharge from hospital: an
observational and interventional study.
February 1, 2013
Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed
medications on discharge from hospital: an obs…
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psnet.ahrq.gov/node/33916/psn-pdf
December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty
Incident. Summary, Evidence Report/Technology
Assessment.
December 22, 2014
Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for
Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1
h…
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - Risks are high at low-volume hospitals.
June 23, 2015
Sternberg S; Dougherty G.
https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
This news article reports an independent analysis of patient risk at hospitals that provide surgeries they
infrequently perform, highlighting how high procedure volume an…
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psnet.ahrq.gov/node/38500/psn-pdf
April 01, 2010 - Relationship of hospital organizational culture to patient
safety climate in the Veterans Health Administration.
April 1, 2010
Hartmann CW, Meterko M, Rosen AK, et al. Relationship of hospital organizational culture to patient safety
climate in the Veterans Health Administration. Med Care Res Rev. 2009;66(3):320-38…
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psnet.ahrq.gov/node/43427/psn-pdf
August 06, 2014 - Surgical checklists unused in 10% of hospitals, CMS data
shows.
August 6, 2014
Clark C. HealthLeaders Media. July 24, 2014.
https://psnet.ahrq.gov/issue/surgical-checklists-unused-10-hospitals-cms-data-shows
The Hospital Compare Web site has begun to publicly report which hospitals are using checklists, and the
r…
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psnet.ahrq.gov/node/40797/psn-pdf
September 21, 2011 - Financial incentives to promote health care quality: the
hospital acquired conditions nonpayment policy.
September 21, 2011
Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions
nonpayment policy. Soc Work Public Health. 2011;26(5):524-41. doi:10.1080/19371918.2011.53355…
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psnet.ahrq.gov/node/38613/psn-pdf
May 20, 2009 - Improved operating room teamwork via SAFETY prep: a
rural community hospital's experience.
May 20, 2009
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural
community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00268-009-9952-2.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - When should a multicampus hospital be considered a
single entity for public reporting on patient safety issues?
September 1, 2011
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single
entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…
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psnet.ahrq.gov/node/42190/psn-pdf
July 01, 2013 - Staff perceptions of quality of care: an observational
study of the NHS Staff Survey in hospitals in England.
July 1, 2013
Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the
NHS Staff Survey in hospitals in England. BMJ Qual Saf. 2013;22(7):563-70. doi:10.113…
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psnet.ahrq.gov/node/40808/psn-pdf
January 12, 2012 - Prevalence of polypharmacy exposure among
hospitalized children in the United States.
January 12, 2012
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in
the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/archpediatrics.2011.161.
https://p…
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psnet.ahrq.gov/node/43380/psn-pdf
December 03, 2014 - Diagnostic error in children presenting with acute medical
illness to a community hospital.
December 3, 2014
Warrick C, Patel P, Hyer W, et al. Diagnostic error in children presenting with acute medical illness to a
community hospital. Int J Qual Health Care. 2014;26(5):538-46. doi:10.1093/intqhc/mzu066.
https://p…
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psnet.ahrq.gov/node/47983/psn-pdf
May 01, 2019 - Health systems and hospitals in pursuit of high reliability.
May 1, 2019
Cheney C. HealthLeaders Media. April 17, 2019.
https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability
This news article describes how a 19-hospital health system successfully applied high reliability principles
to …
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psnet.ahrq.gov/node/38503/psn-pdf
June 16, 2009 - Antimicrobial prescription errors in hospitalized children:
role of antimicrobial stewardship program in detection
and intervention.
June 16, 2009
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of
antimicrobial stewardship program in detection and interventi…
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psnet.ahrq.gov/node/36682/psn-pdf
March 28, 2011 - Insufficient communication about medication use at the
interface between hospital and primary care.
March 28, 2011
Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface
between hospital and primary care. Qual Saf Health Care. 2007;16(1):34-9.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/39100/psn-pdf
January 28, 2010 - Hospital governance and the quality of care.
January 28, 2010
Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7.
doi:10.1377/hlthaff.2009.0297.
https://psnet.ahrq.gov/issue/hospital-governance-and-quality-care
This study surveyed more than 700 board chairs and…