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psnet.ahrq.gov/node/837511/psn-pdf
June 22, 2022 - Striving for high reliability in healthcare: a qualitative
study of the implementation of a hospital safety
programme.
June 22, 2022
Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the
implementation of a hospital safety programme. BMJ Qual Saf. 2022;31…
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psnet.ahrq.gov/node/41741/psn-pdf
October 10, 2012 - Improving America's Hospitals—The Joint Commission's
Annual Report on Quality and Safety.
October 10, 2012
Oakbrook Terrace, IL: Joint Commission.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety
The Joint Commission's annual report summarizes hospital …
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psnet.ahrq.gov/node/44348/psn-pdf
September 04, 2016 - Examining the attitudes of hospital pharmacists to
reporting medication safety incidents using the theory of
planned behaviour.
September 4, 2016
Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting
medication safety incidents using the theory of planned behaviour. Int J…
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psnet.ahrq.gov/node/46062/psn-pdf
December 19, 2017 - Frequency and nature of medication errors and adverse
drug events in mental health hospitals: a systematic
review.
December 19, 2017
Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events
in mental health hospitals: a systematic review. Drug Saf. 2017;40(10):871-886. …
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psnet.ahrq.gov/node/39446/psn-pdf
May 25, 2010 - Worries and concerns experienced by nurse specialists
during inter-hospital transports of critically ill patients: a
critical incident study.
May 25, 2010
Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during
inter-hospital transports of critically ill patients: a cri…
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psnet.ahrq.gov/node/46961/psn-pdf
June 06, 2018 - Impact of nighttime rapid response team activation on
outcomes of hospitalized patients with acute
deterioration.
June 6, 2018
Fernando SM, Reardon PM, Bagshaw SM, et al. Impact of nighttime Rapid Response Team activation on
outcomes of hospitalized patients with acute deterioration. Crit Care. 2018;22(1):67. doi:…
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psnet.ahrq.gov/node/47446/psn-pdf
October 03, 2018 - Hospital staffing and health care–associated infections: a
systematic review of the literature.
October 3, 2018
Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A
Systematic Review of the Literature. Jt Comm J Qual Patient Saf. 2018;44(10):613-622.
doi:10.1016/j.jcj…
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psnet.ahrq.gov/node/37820/psn-pdf
February 18, 2011 - Stop orders to reduce inappropriate urinary
catheterization in hospitalized patients: a randomized
controlled trial.
February 18, 2011
Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in
hospitalized patients: a randomized controlled trial. J Gen Intern Med. 2008;23(…
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psnet.ahrq.gov/node/39819/psn-pdf
April 04, 2011 - Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients.
April 4, 2011
Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
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psnet.ahrq.gov/node/39879/psn-pdf
September 29, 2010 - The effect of resident duty hour restriction on trauma
center outcomes in teaching hospitals in the state of
Pennsylvania.
September 29, 2010
Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center
outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…
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psnet.ahrq.gov/node/843082/psn-pdf
January 25, 2023 - Determination of unnecessary blood transfusion by
comprehensive 15-hospital record review.
January 25, 2023
Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by
comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):42-52.
doi:10.1016/j.jcjq.2022.1…
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psnet.ahrq.gov/node/39124/psn-pdf
February 18, 2011 - Adverse drug event rates in six community hospitals and
the potential impact of computerized physician order
entry for prevention.
February 18, 2011
Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the
Potential Impact of Computerized Physician Order Entry for Prevention…
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psnet.ahrq.gov/node/867186/psn-pdf
November 20, 2024 - Hospital COVID-19 burden and adverse event rates.
November 20, 2024
Metersky ML, Rodrick D, Ho S-Y, et al. Hospital COVID-19 burden and adverse event rates. JAMA Netw
Open. 2024;7(11):e2442936. doi:10.1001/jamanetworkopen.2024.42936.
https://psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
Pre…
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psnet.ahrq.gov/node/43080/psn-pdf
March 26, 2014 - Hospital-based transfusion error tracking from 2005 to
2010: identifying the key errors threatening patient
transfusion safety.
March 26, 2014
Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010:
identifying the key errors threatening patient transfusion safety. Transfu…
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psnet.ahrq.gov/node/74841/psn-pdf
February 16, 2022 - Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation
survey.
February 16, 2022
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation survey. BMJ Open.…
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psnet.ahrq.gov/node/39256/psn-pdf
November 14, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2009.
November 14, 2011
Oakbrook Terrace, IL: The Joint Commission; January 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2009
America's hospitals continu…
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psnet.ahrq.gov/node/45748/psn-pdf
January 01, 2017 - Fatigue in hospital nurses—'Supernurse' culture is a
barrier to addressing problems: a qualitative interview
study.
December 14, 2016
Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing
problems: A qualitative interview study. Int J Nurs Stud. 2017;67:20-28. doi:10.1…
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psnet.ahrq.gov/node/41466/psn-pdf
June 20, 2012 - Factors predicting change in hospital safety climate and
capability in a multi-site patient safety collaborative: a
longitudinal survey study.
June 20, 2012
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a
multi-site patient safety collaborative: a longit…
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psnet.ahrq.gov/node/43854/psn-pdf
February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals
Used in Hospitals.
February 11, 2015
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; January 2015. Report No. OEI-01-13-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…
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psnet.ahrq.gov/node/45886/psn-pdf
July 05, 2017 - Organizational perspectives of nurse executives in 15
hospitals on the impact and effectiveness of rapid
response teams.
July 5, 2017
Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact
and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…