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psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Examining causes and prevention strategies of adverse
events in deceased hospital patients: a retrospective
patient record review study in the Netherlands.
June 16, 2021
Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in
deceased hospital patients: a retrospect…
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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/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/44697/psn-pdf
June 21, 2016 - Saving Lives and Saving Money: Hospital-Acquired
Conditions Update.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-
0009-EF.
https://psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
The Partnership for Patients …
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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
Search All AHRQ Websites
Careers
Contact Us…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - attempts are
made to access historical medication information from the family, ambulatory
records, past hospitalizations … Post-hospitalization conditions may not be conducive to
medication access or adherence.
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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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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/36545/psn-pdf
January 10, 2011 - Transition of care for hospitalized elderly
patients—development of a discharge checklist for
hospitalists.
January 10, 2011
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly
patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6).
doi:10.1002/…
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psnet.ahrq.gov/node/41380/psn-pdf
June 20, 2012 - A novel tool for organisational learning and its impact on
safety culture in a hospital dispensary.
June 20, 2012
Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary.
Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress.2011.12.021.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/37568/psn-pdf
February 03, 2011 - Survival from in-hospital cardiac arrest during nights and
weekends.
February 3, 2011
Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and
weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785.
https://psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-duri…
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psnet.ahrq.gov/node/39034/psn-pdf
November 25, 2009 - AHRQ's Hospital Survey on Patient Safety Culture:
psychometric analyses.
November 25, 2009
Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric
analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e.
https://psnet.ahrq.gov/issue/ahrqs-hospital…
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psnet.ahrq.gov/node/39437/psn-pdf
March 03, 2011 - Using care bundles to reduce in-hospital mortality:
quantitative survey.
March 3, 2011
Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative
survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234.
https://psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mort…
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psnet.ahrq.gov/node/38161/psn-pdf
October 22, 2008 - Discrepancies between home medications listed at
hospital admission and reported medical conditions.
October 22, 2008
Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission
and reported medical conditions. Am J Geriatr Pharmacother. 2008;6(3):161-6.
doi:10.1016/j.amj…
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psnet.ahrq.gov/node/38590/psn-pdf
April 29, 2009 - Rural hospital nursing: better environments = shared
vision and quality/safety engagement.
April 29, 2009
Newhouse RP, Morlock L, Pronovost P, et al. Rural hospital nursing: Better environments = shared vision
and quality/safety engagement. J Nurs Admin. 2009;39(4):189-195. doi:10.1097/NNA.0b013e31819c9cd5.
https…
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psnet.ahrq.gov/node/35496/psn-pdf
February 22, 2010 - Safe use of cellular telephones in hospitals: fundamental
principles and case studies.
February 22, 2010
Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles
and case studies. J Healthc Inf Manag. 2005;19(4):38-48.
https://psnet.ahrq.gov/issue/safe-use-cellul…
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psnet.ahrq.gov/node/37253/psn-pdf
January 10, 2017 - American Hospital Association-McKesson Quest for
Quality Prize.
January 10, 2017
Jt Comm J Qual Patient Saf. 2007;33(10):592-604.
https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
This issue includes articles highlighting the achievements of the 2007 AHA McKesson Quest …
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - 10 Medication Safety Tips for Hospitalized Patients.
September 25, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk for medication errors. This set of tips seeks to help hospitalized patien…
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psnet.ahrq.gov/node/38149/psn-pdf
October 15, 2008 - Health-Care-Associated Infections in Hospitals: An
Overview of State Reporting Programs and Individual
Hospital Initiatives to Reduce Certain Infections.
October 15, 2008
Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08-
808.
https://psnet.ahrq.gov/issue/health-ca…