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psnet.ahrq.gov/node/47906/psn-pdf
August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience.
August 21, 2019
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc
Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…
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psnet.ahrq.gov/node/36980/psn-pdf
June 29, 2011 - Under-reporting of deaths to the coroner by doctors: a
retrospective review of deaths in two hospitals in
Melbourne, Australia.
June 29, 2011
Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a
retrospective review of deaths in two hospitals in Melbourne, Australia. Int J…
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psnet.ahrq.gov/node/45921/psn-pdf
March 08, 2017 - Do hospital boards matter for better, safer, patient care?
March 8, 2017
Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci
Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045.
https://psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-1.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.1. Interviewees by Type of Participant and Clinical Role (As of September 1, 2011)
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studie…
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psnet.ahrq.gov/node/39949/psn-pdf
October 27, 2010 - Patient safety and image transfer between referring
hospitals and neuroscience centres: could we do better?
October 27, 2010
Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring
hospitals and neuroscience centres: could we do better? Br J Neurosurg. 2010;24(4):391-…
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psnet.ahrq.gov/node/37734/psn-pdf
April 30, 2008 - Improving the quality of written prescriptions in a general
hospital: the influence of 10 years of serial audits and
targeted interventions.
April 30, 2008
Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital:
the influence of 10 years of serial audits and targe…
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psnet.ahrq.gov/node/45067/psn-pdf
May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User
Comparative Database Report.
May 11, 2016
Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare
Research and Quality; March 2016. AHRQ Publication No. 16-00121-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-saf…
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psnet.ahrq.gov/node/837627/psn-pdf
July 06, 2022 - Distinguishing high-performing from low-performing
hospitals for severe maternal morbidity: a focus on
quality and equity.
July 6, 2022
Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for
severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. …
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumcoch.html
October 01, 2014 - Cochran, Gary
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Nebraska Medical Center
Grant Title: Comparing the Effectiveness of Medication Use Systems in Small…
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psnet.ahrq.gov/node/41413/psn-pdf
September 26, 2012 - The effects of a 'discharge time-out' on the quality of
hospital discharge summaries.
September 26, 2012
Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital
discharge summaries. BMJ Qual Saf. 2012;21(10):885-90.
https://psnet.ahrq.gov/issue/effects-discharge-time-…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.15. Major Factors that Inhibited Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healt…
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psnet.ahrq.gov/node/38558/psn-pdf
February 18, 2011 - Medication discrepancies upon hospital to skilled nursing
facility transitions.
February 18, 2011
Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility
transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2.
https://psnet.ahrq.gov/issue/m…
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psnet.ahrq.gov/node/43531/psn-pdf
September 17, 2014 - The role of hospital managers in quality and patient
safety: a systematic review.
September 17, 2014
Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a
systematic review. BMJ Open. 2014;4(9):e005055. doi:10.1136/bmjopen-2014-005055.
https://psnet.ahrq.gov/issue/role-h…
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psnet.ahrq.gov/node/38434/psn-pdf
June 15, 2011 - Trends in healthcare incident reporting and relationship
to safety and quality data in acute hospitals: results from
the National Reporting and Learning System.
June 15, 2011
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to
safety and quality data in acute hospi…
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psnet.ahrq.gov/node/866727/psn-pdf
September 18, 2024 - Perceptions of hospital electronic health record (EHR)
training, support, and patient safety by staff position and
tenure.
September 18, 2024
Campione JR, Liu H. Perceptions of hospital electronic health record (EHR) training, support, and patient
safety by staff position and tenure. BMC Health Serv Res. 2024;24(1…
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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and
Estimates of Cost Savings and Deaths Averted From 2010
to 2013.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; October 2015. AHRQ Publication No.16-
0006-EF.
https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-est…
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psnet.ahrq.gov/node/41522/psn-pdf
December 02, 2014 - Tenfold medication errors: 5 years' experience at a
university-affiliated pediatric hospital.
December 2, 2014
Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric
hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2526.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/862137/psn-pdf
February 07, 2024 - 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.
February 7, 2024
Ong N, Lucien A, Long JC, et al. What do parents think about the quality and safety of care provided by
hospi…
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Annual Perspective
Handoffs and Transitions
Niraj Sehgal, MD, MPH | January 22, 2014
View more articles from the same authors.
Citation Text:
Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
October 16, 2008 - Special or Theme Issue
Validity of Patient Safety Indicators in the Veterans Health Administration.
Citation Text:
Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.
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