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psnet.ahrq.gov/node/866857/psn-pdf
October 02, 2024 - Reducing falls in hospitalized children and adolescents
with cancer and blood disorders: a quality improvement
journey.
October 2, 2024
Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer
and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202…
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psnet.ahrq.gov/node/46030/psn-pdf
March 29, 2017 - Improving surgical complications and patient safety at the
nation's largest military hospital: an analysis of National
Surgical Quality Improvement Program data.
March 29, 2017
Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation's
Largest Military Hospital: An …
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psnet.ahrq.gov/node/35929/psn-pdf
February 24, 2011 - Hospitalized patients' attitudes about and participation in
error prevention.
February 24, 2011
Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: Hospitalized patients' attitudes about and
participation in error prevention. J Gen Intern Med. 2006;21(4):367-70.
https://psnet.ahrq.gov/issue/hospitalized-pat…
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psnet.ahrq.gov/node/45377/psn-pdf
October 27, 2016 - Inpatient notes: reducing diagnostic error—a new horizon
of opportunities for hospital medicine.
October 27, 2016
Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A
New Horizon of Opportunities for Hospital Medicine. Ann Intern Med. 2016;165(8):HO2-HO4.
doi:10.7…
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psnet.ahrq.gov/node/36005/psn-pdf
March 28, 2011 - Active surveillance using electronic triggers to detect
adverse events in hospitalized patients.
March 28, 2011
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse
events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47227/psn-pdf
October 03, 2018 - Clinical and financial effects of smart pump-electronic
medical record interoperability at a hospital in a regional
health system.
October 3, 2018
Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability
at a hospital in a regional health system. Am J Health Sy…
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psnet.ahrq.gov/node/44181/psn-pdf
June 03, 2015 - Preventing device-associated infections in US hospitals:
national surveys from 2005 to 2013.
June 3, 2015
Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national
surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/bmjqs-2014-003870.
https://psnet.ah…
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psnet.ahrq.gov/node/860717/psn-pdf
January 17, 2024 - A combined assessment tool of teamwork,
communication, and workload in hospital procedural
units.
January 17, 2024
Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in
hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. doi:10.1016/j.jcjq.2023.10.014.
…
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www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities
Using Root Cause Analysis to Reduce Falls
in Rural Health Care Facilities
Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD;
John Brehm, MD; David Lomely, BA.
Abstract
Prevention of patient falls i…
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www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer
Summary
Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…
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hcup-us.ahrq.gov/db/nation/nass/nasschecklist.jsp
November 01, 2024 - Checklist for Working with the NASS
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - 2000s consistently found that opioids accounted for a large share of emergency department visits and hospitalizations
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psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
September 25, 2019 - Study
A mixed methods study exploring patient safety culture at 4 VHA Hospitals.
Citation Text:
Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…
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psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
July 29, 2020 - Review
For children admitted to hospital, what interventions improve medication safety on ward rounds?
Citation Text:
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…
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psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
April 24, 2018 - Study
The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients.
Citation Text:
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…
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psnet.ahrq.gov/issue/association-communication-between-hospital-based-physicians-and-primary-care-providers
September 09, 2013 - Study
Association of communication between hospital-based physicians and primary care providers with patient outcomes.
Citation Text:
Bell CM, Schnipper JL, Auerbach AD, et al. Association of communication between hospital-based physicians and primary care providers with patient out…
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psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
January 21, 2009 - Study
To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?
Citation Text:
Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records r…
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psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
February 24, 2011 - Study
Classic
Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
Citation Text:
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4)…
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.
Citation Text:
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-7…
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psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic
February 09, 2022 - Study
Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.
Citation Text:
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …