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psnet.ahrq.gov/node/60205/psn-pdf
April 08, 2020 - How should U.S. hospitals prepare for Coronavirus
disease 2019 (COVID-19)?
April 8, 2020
Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019
(COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907.
https://psnet.ahrq.gov/issue/how-should-us-hospitals-p…
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psnet.ahrq.gov/node/36229/psn-pdf
October 19, 2010 - Learning from mistakes in New Zealand hospitals: what
else do we need besides "no-fault"?
October 19, 2010
Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N
Z Med J. 2006;119(1239):U2099.
https://psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-wha…
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psnet.ahrq.gov/node/38345/psn-pdf
February 17, 2009 - Association of communication between hospital-based
physicians and primary care providers with patient
outcomes.
February 17, 2009
Bell CM, Schnipper JL, Auerbach AD, et al. Association of communication between hospital-based
physicians and primary care providers with patient outcomes. J Gen Intern Med. 2009;24(3)…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-11.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.11. Lean Tools for Horizon Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Centr…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/37551/psn-pdf
February 20, 2008 - The uptake of technologies designed to influence
medication safety in Canadian hospitals.
February 20, 2008
Saginur M, Graham ID, Forster AJ, et al. The uptake of technologies designed to influence medication
safety in Canadian hospitals. J Eval Clin Pract. 2008;14(1):27-35. doi:10.1111/j.1365-2753.2007.00780.x.
h…
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psnet.ahrq.gov/node/851452/psn-pdf
July 19, 2023 - Factors influencing in-hospital prescribing errors: a
systematic review.
July 19, 2023
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in?hospital prescribing errors: a
systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
https://psnet.ahrq.gov/issue/factors-in…
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psnet.ahrq.gov/node/46231/psn-pdf
December 20, 2017 - Patient preferences for participation in patient care and
safety activities in hospitals.
December 20, 2017
Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety
activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42353/psn-pdf
September 19, 2016 - Inpatient suicide on mental health units in Veterans
Affairs (VA) hospitals: avoiding environmental hazards.
September 19, 2016
Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals:
avoiding environmental hazards. Gen Hosp Psych. 2013;35(5):528-536.
doi:10.…
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psnet.ahrq.gov/node/38307/psn-pdf
January 07, 2009 - Falls in English and Welsh hospitals: a national
observational study based on retrospective analysis of 12
months of patient safety incident reports.
January 7, 2009
Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study
based on retrospective analysis of 12 month…
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psnet.ahrq.gov/node/47310/psn-pdf
September 19, 2018 - Use of simulation to test systems and prepare staff for a
new hospital transition.
September 19, 2018
Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New
Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.0000000000000184.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/node/42036/psn-pdf
March 18, 2013 - Changes in adverse event rates in hospitals over time: a
longitudinal retrospective patient record review study.
March 18, 2013
Baines RJ, Langelaan M, de Bruijne M, et al. Changes in adverse event rates in hospitals over time: a
longitudinal retrospective patient record review study. BMJ Qual Saf. 2013;22(4):290-8…
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psnet.ahrq.gov/node/37570/psn-pdf
February 27, 2008 - Communication gaps and readmissions to hospital for
patients aged 75 years and older: observational study.
February 27, 2008
Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients
aged 75 years and older: observational study. Qual Saf Health Care. 2008;17(1):71-5.
doi:1…
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psnet.ahrq.gov/node/39424/psn-pdf
September 09, 2010 - Postdischarge adverse events for 1-day hospital
admissions in older adults admitted from the emergency
department.
September 9, 2010
Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in
older adults admitted from the emergency department. Ann Emerg Med. 2010;56(3…
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psnet.ahrq.gov/node/47146/psn-pdf
June 27, 2018 - Provider perspectives on partnering with parents of
hospitalized children to improve safety.
June 27, 2018
Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of
Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159.
https…
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psnet.ahrq.gov/node/41961/psn-pdf
January 16, 2013 - Understanding the attitudes of hospital pharmacists to
reporting medication incidents: a qualitative study.
January 16, 2013
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting
medication incidents: a qualitative study. Res Social Adm Pharm. 2013;9(1):80-9.
doi:10.1…
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psnet.ahrq.gov/node/37846/psn-pdf
April 11, 2011 - Clinical profile of hospitalized children provided with
urgent assistance from a medical emergency team.
April 11, 2011
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent
assistance from a medical emergency team. Pediatrics. 2008;121(6):e1577-e1584. doi:10.1542/p…
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psnet.ahrq.gov/node/50761/psn-pdf
December 18, 2019 - ‘Largest maternity scandal in NHS history’: Dozens of
mothers and babies died on wards of hospital trust,
leaked report reveals
December 18, 2019
Lintern S. The Independent. November 18, 2019.
https://psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-
hospital-trust
…
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psnet.ahrq.gov/node/42987/psn-pdf
June 25, 2014 - Developing a reliable and valid patient measure of safety
in hospitals (PMOS): a validation study.
June 25, 2014
McEachan RRC, Lawton R, O'Hara JK, et al. Developing a reliable and valid patient measure of safety in
hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):565-73. doi:10.1136/bmjqs-2013-002312…