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psnet.ahrq.gov/node/837670/psn-pdf
July 13, 2022 - The evidence base for US Joint Commission hospital
accreditation standards: cross sectional study.
July 13, 2022
Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation
standards: cross sectional study. BMJ. 2022;377:e063064. doi:10.1136/bmj-2020-063064.
https://psn…
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psnet.ahrq.gov/node/43108/psn-pdf
September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report.
September 28, 2023
Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
This annual report summarizes never events in Maryland hospit…
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psnet.ahrq.gov/node/44498/psn-pdf
December 04, 2016 - State-mandated hospital infection reporting is not
associated with decreased pediatric health
care–associated infections.
December 4, 2016
Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated
With Decreased Pediatric Health Care-Associated Infections. J Patient Saf. …
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psnet.ahrq.gov/node/61017/psn-pdf
October 14, 2020 - Impact of pharmacist interventions on medication errors
in hospitalized pediatric patients: a systematic review and
meta-analysis.
October 14, 2020
Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in
hospitalized pediatric patients: a systematic review and meta-an…
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psnet.ahrq.gov/node/47230/psn-pdf
August 15, 2018 - Experience feedback committees: a way of implementing
a root cause analysis practice in hospital medical
departments.
August 15, 2018
François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a
root cause analysis practice in hospital medical departments. PLoS One. 2018;13(7…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
https://psnet…
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psnet.ahrq.gov/node/38784/psn-pdf
July 13, 2010 - A survey of nurses' beliefs about the medical emergency
team system in a Canadian tertiary hospital.
July 13, 2010
Bagshaw SM, Mondor EE, Scouten C, et al. A survey of nurses' beliefs about the medical emergency team
system in a canadian tertiary hospital. Am J Crit Care. 2010;19(1):74-83. doi:10.4037/ajcc2009532.
…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43730/psn-pdf
December 03, 2014 - A qualitative study of senior hospital managers' views on
current and innovative strategies to improve hand
hygiene.
December 3, 2014
McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current
and innovative strategies to improve hand hygiene. BMC Infect Dis. 2014;…
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psnet.ahrq.gov/node/73125/psn-pdf
April 07, 2021 - Black Patients are More Likely Than White Patients to be
in Hospitals with Worse Patient Safety Conditions.
April 7, 2021
Gangopadhyaya A. Washington DC: Urban Institute; March 29, 2021.
https://psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-
safety-conditions
Racial…
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psnet.ahrq.gov/node/60577/psn-pdf
June 10, 2020 - Assuring safe patient care in a level III NICU in
anticipation of hospital closure.
June 10, 2020
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital
closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
https://psnet.ahrq.gov/issue/assuring-safe-patien…
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psnet.ahrq.gov/node/44078/psn-pdf
March 15, 2016 - Language barriers and patient safety risks in hospital
care. A mixed methods study.
March 15, 2016
van Rosse F, de Bruijne M, Suurmond J, et al. Language barriers and patient safety risks in hospital care.
A mixed methods study. Int J Nurs Stud. 2016;54:45-53. doi:10.1016/j.ijnurstu.2015.03.012.
https://psnet.ahrq…
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psnet.ahrq.gov/node/41774/psn-pdf
October 24, 2012 - Health information technology and its effects on hospital
costs, outcomes, and patient safety.
October 24, 2012
Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient
safety. Inquiry. 2011;48(4):288-303.
https://psnet.ahrq.gov/issue/health-information-technology-a…
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psnet.ahrq.gov/node/44027/psn-pdf
April 15, 2015 - Hospital credentialing and privileging of surgeons: a
potential safety blind spot.
April 15, 2015
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety
blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
https://psnet.ahrq.gov/issue/hospital-cred…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.4. Chronology of Quality Improvement and Lean at Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakev…
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psnet.ahrq.gov/node/840150/psn-pdf
January 01, 2023 - Patients' experience of patient safety information and
participation in care during a hospital stay.
November 16, 2022
Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation
in care during a hospital stay. Nurs Open. 2023;10(3):1684-1692. doi:10.1002/nop2.142…
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psnet.ahrq.gov/node/44581/psn-pdf
January 20, 2016 - Quality management and perceptions of teamwork and
safety climate in European hospitals.
January 20, 2016
Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety
climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi:10.1093/intqhc/mzv079.
https:/…
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psnet.ahrq.gov/node/60879/psn-pdf
September 02, 2020 - Why do hospital prescribers continue antibiotics when it
is safe to stop? Results of a choice experiment survey.
September 2, 2020
Roope LSJ, Buchanan J, Morrell L, et al. Why do hospital prescribers continue antibiotics when it is safe to
stop? Results of a choice experiment survey. BMC Med. 2020;18(1):196. doi:10…
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psnet.ahrq.gov/node/837068/psn-pdf
May 11, 2022 - Barriers and enablers to nurses' use of harm prevention
strategies for older patients in hospital: a cross-sectional
survey.
May 11, 2022
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for
older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
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psnet.ahrq.gov/node/47438/psn-pdf
June 02, 2019 - Developing an intervention to reduce harm in hospitalized
patients: patients and families in research.
June 2, 2019
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized
Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278.
doi:10.1097/NCQ.0…