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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41498/psn-pdf
    December 31, 2014 - Standard practices for computerized clinical decision support in community hospitals: a national survey. December 31, 2014 Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37401/psn-pdf
    March 28, 2012 - Interventions for preventing falls in acute- and chronic- care hospitals: a systematic review and meta-analysis. March 28, 2012 Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74009/psn-pdf
    October 27, 2021 - Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. October 27, 2021 Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436. https://psnet.ahrq.gov/issue/q…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38276/psn-pdf
    December 10, 2008 - Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. December 10, 2008 Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred from the hospital to the nursing h…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40911/psn-pdf
    November 09, 2011 - Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands. November 9, 2011 Dequito AB, Mol PGM, van Doormaal J, et al. Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands. Drug…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35583/psn-pdf
    June 17, 2010 - Using a bar-coded medication administration system to prevent medication errors in a community hospital network. June 17, 2010 Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. American Journal of Health-System …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35043/psn-pdf
    June 22, 2009 - Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. June 22, 2009 Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. https://psnet.ahrq.gov/issue/human-factors-e…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34960/psn-pdf
    June 22, 2009 - Making hospital care safer and better: the structure- process connection leading to adverse events. June 22, 2009 El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. https://psnet.ahrq.gov/issue/making-hospital-care-s…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50625/psn-pdf
    November 06, 2019 - Pediatric medication safety considerations for pharmacists in an adult hospital setting. November 6, 2019 Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/ajhp/zxz168. https://psnet.ahrq.gov/is…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35760/psn-pdf
    July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. July 19, 2010 Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85. https://psnet.ahrq.gov/issue/achieving-rapid…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38112/psn-pdf
    December 30, 2014 - Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. December 30, 2014 Murdaugh L, Jordin R. Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. Hosp Pharm. 2010;43(9):728-733. doi:10.1310/hpj4309-728. https://psnet.ahrq.gov…
  16. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-8.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.8. Lean Team Training at Central 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.…
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-6-tables-6-7.pdf
    June 02, 2025 - Section 6, Tables 6 and 7 Table 6: Agreement and Kappa Statistics for Inter‐Rater Reliability at Three Sites Site Measure Numerator/ Eligibility Criteria Number of Records Reviewed N Agreed (%) Kappa Statistic Hospital #1 Pain Numerator 3 100% 1.00 Pain Criterion 3 100% 1.00 Hospital #2 Pain Numerator …
  18. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-16.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.16. Project Team Composition–Cardiology Follow-up Appointment Scheduling Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1…
  19. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
    January 01, 2013 - Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change * Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center Learning Objectives Describe the methods to engage clinicians in CAUTI prevention Describe methods to engage l…
  20. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
    September 01, 2017 - Pressure Injury Prevention Program Implementation Guide Pressure Injury Prevention Program Phases Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B…