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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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hcup-us.ahrq.gov/db/vars/h_region/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/patient-safety-executive-hospital-management-wards-qualitative-study-identifying-factors
March 08, 2023 - Study
Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation.
Citation Text:
Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influen…
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hcup-us.ahrq.gov/db/nation/nass/nassrefinements2019.jsp
October 18, 2021 - 2019 NASS Refinements
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/home_race.jsp
September 01, 2014 - Race and Ethnicity Data Improvement Toolkit
An official website of the Department of Health & Human Services
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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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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - Study
How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.
Citation Text:
Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - Study
Classic
Underlying reasons associated with hospital readmission following surgery in the United States.
Citation Text:
Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. …
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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
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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/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/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
November 16, 2022 - Study
Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.
Citation Text:
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…
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hcup-us.ahrq.gov/db/vars/h_region/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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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/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
September 24, 2017 - Commentary
Improving safety for hospitalized patients: much progress but many challenges remain.
Citation Text:
Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887.
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Study
Patient safety indicators during the initial COVID-19 pandemic surge in the United States.
Citation Text:
Rodriguez JA, Samal L, Ganesan S, et al. Patient safety indicators during the initial COVID-19 pandemic surge in the United States. J Patient Saf. 2024;20(4):247-251. doi:10.10…
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psnet.ahrq.gov/node/41909/psn-pdf
December 12, 2012 - Effect of a protected sleep period on hours slept during
extended overnight in-hospital duty hours among medical
interns: a randomized trial.
December 12, 2012
Volpp KG, Shea JA, Small DS, et al. Effect of a protected sleep period on hours slept during extended
overnight in-hospital duty hours among medical intern…
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psnet.ahrq.gov/issue/when-patient-handoffs-go-terribly-wrong
May 01, 2013 - Newspaper/Magazine Article
When patient handoffs go terribly wrong.
Citation Text:
When patient handoffs go terribly wrong. Chen PW.
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www.ahrq.gov/news/newsroom/case-studies/201607.html
January 01, 2018 - South Carolina Hospital’s Use of AHRQ Patient Safety Program Leads to Significant Drop in Urinary Infections
Search All Impact Case Studies
July 2016
Implementation of an AHRQ patient safety program helped the Medical University of South Carolina (MUSC) hospital reduce catheter-associated urinary tract infe…
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psnet.ahrq.gov/issue/empowered-improve
November 10, 2011 - Newspaper/Magazine Article
Empowered to improve.
Citation Text:
Empowered to improve. Gardner E.
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June 3…