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psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
November 11, 2020 - Study
Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital.
Citation Text:
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;…
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psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
October 27, 2021 - Study
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.
Citation Text:
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
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psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
January 18, 2023 - Study
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system.
Citation Text:
Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Study
Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan.
Citation Text:
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
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psnet.ahrq.gov/issue/impact-2011-acgme-resident-duty-hour-reform-hospital-patient-experience-and-processes-care
September 07, 2016 - Study
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.
Citation Text:
Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;…
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psnet.ahrq.gov/issue/strategic-approach-managing-conflict-hospitals-responding-joint-commission-leadership
December 01, 2007 - Commentary
A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2.
Citation Text:
Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership standard…
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psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
October 19, 2022 - Study
Classic
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Citation Text:
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…
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psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness
August 18, 2021 - Study
Classic
The care transitions intervention: translating from efficacy to effectiveness.
Citation Text:
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med. 2011;171(14):1232-7. …
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psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study
March 24, 2021 - Study
Exploration of a rapid response team model of care: a descriptive dual methods study.
Citation Text:
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn…
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www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
April 01, 2023 - Implementing Automatic Referral
This focus area will walk you through the necessary steps for implementing an automatic referral system in your hospital.
Automatic referral is a proven, evidence-based strategy to increase participation in cardiac rehabilitation (CR). Automatic referral is the systematic, au…
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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
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psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
March 11, 2020 - Study
Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units.
Citation Text:
Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…
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psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
February 16, 2022 - Study
Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.
Citation Text:
Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …
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psnet.ahrq.gov/issue/what-do-parents-think-about-quality-and-safety-care-provided-hospitals-children-and-young
September 06, 2023 - Study
What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis.
Citation Text:
Ong N, Lucien A, Long JC, et al. What do parents think about the quality and sa…
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.
Citation Text:
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
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psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
September 09, 2020 - Commentary
From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.
Citation Text:
Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Im…
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psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
May 20, 2020 - Study
Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention.
Citation Text:
Gordo C, Núñez‐Córdoba JM, Mateo R. Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. J Adv Nurs. 2021;77(7…
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psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation
September 23, 2020 - Review
Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review.
Citation Text:
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…
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psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
March 02, 2022 - Study
Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.
Citation Text:
Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …
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hcup-us.ahrq.gov/db/vars/h_region/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
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