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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers.
March 11, 2013
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
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psnet.ahrq.gov/node/39458/psn-pdf
April 12, 2011 - Hospital admission medication reconciliation in medically
complex children: an observational study.
April 12, 2011
Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically
complex children: an observational study. Arch Dis Child. 2009. doi:10.1136/adc.2009.167528.
https://p…
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psnet.ahrq.gov/node/40457/psn-pdf
May 18, 2011 - An in-depth analysis of medication errors in hospitalized
patients with HIV.
May 18, 2011
Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients
with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599.
https://psnet.ahrq.gov/issue/depth-analysis-medi…
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psnet.ahrq.gov/node/41771/psn-pdf
March 20, 2018 - Improving Patient Safety Systems for Patients With
Limited English Proficiency: A Guide For Hospitals.
March 20, 2018
Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12-
0041.
https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…
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psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric
November 23, 2016 - Study
Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care.
Citation Text:
Jones D, Hansen M, Van Otterloo J, et al. Emergency Medical Services Provider Pediatric Adverse Event Rate Varies by Call Origin. Pediatr Emerg Care. 2018…
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psnet.ahrq.gov/issue/did-duty-hour-reform-lead-better-outcomes-among-highest-risk-patients
January 13, 2010 - Study
Did duty hour reform lead to better outcomes among the highest risk patients?
Citation Text:
Volpp KG, Rosen AK, Rosenbaum PR, et al. Did duty hour reform lead to better outcomes among the highest risk patients? J Gen Intern Med. 2009;24(10):1149-55. doi:10.1007/s11606-009-1011-z…
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - Study
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.
Citation Text:
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical setting…
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psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
December 23, 2020 - Commentary
The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic.
Citation Text:
Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - Study
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.
Citation Text:
Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
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psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
November 16, 2022 - Study
Differences in the rates of patient safety events by payer: implications for providers and policymakers.
Citation Text:
Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):5…
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.
Citation Text:
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…
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psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable
September 02, 2020 - Study
Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.
Citation Text:
Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a r…
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psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
October 03, 2012 - Study
Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.
Citation Text:
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…
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psnet.ahrq.gov/issue/association-hospital-employee-satisfaction-patient-safety-and-satisfaction-within-veterans
August 04, 2021 - Study
Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers.
Citation Text:
Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affair…
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psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
March 16, 2022 - Study
Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,
Citation Text:
Bartholomew AJ, Zeymo A, Chan KS, et al. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,. Ann Surg.…
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psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes
July 14, 2009 - Study
Using patient safety indicators to estimate the impact of potential adverse events on outcomes.
Citation Text:
Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1…
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psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - Review
Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.
Citation Text:
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J…
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psnet.ahrq.gov/issue/identifying-adverse-events-patients-hospitalized-isolation-or-quarantine-due-covid-19
September 13, 2023 - Study
Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19.
Citation Text:
de Arriba Fernández A, Sánchez Medina R, Dorta Hung ME, et al. Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19. J Patient Sa…
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psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
September 21, 2022 - Review
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.
Citation Text:
Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and…
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psnet.ahrq.gov/issue/opioid-stewardship-program-and-postoperative-adverse-events-difference-differences-cohort
June 30, 2021 - Study
Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study.
Citation Text:
Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiolo…