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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44614/psn-pdf
    November 04, 2015 - Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. November 4, 2015 Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General Surgery Procedures. Ann Surg. 20…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50620/psn-pdf
    November 06, 2019 - Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. November 6, 2019 Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psychiatric Units at Veterans Health…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - Contributing factors identified by hospital incident report narratives. October 22, 2008 Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721. https://psnet.ahrq.gov/issue/contributing-f…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847052/psn-pdf
    April 05, 2023 - An examination of Leapfrog safety measures and Magnet designation. April 5, 2023 Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. https://psnet.ahrq.gov/issue/examination-leapfrog-safety-measure…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45898/psn-pdf
    August 16, 2017 - Estimating hospital-related deaths due to medical error: a perspective from patient advocates. August 16, 2017 Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364. http…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837514/psn-pdf
    June 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45280/psn-pdf
    September 01, 2018 - Fighting MRSA infections in hospital care: how organizational factors matter. September 1, 2018 Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521. https://psnet.ahrq.gov/issue/fighting-mr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45123/psn-pdf
    May 07, 2018 - Hardwiring safety into the computer system: one hospital's actions to provide technology support for U- 500 insulin. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4. https://psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology- support-u-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39895/psn-pdf
    September 21, 2011 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. September 21, 2011 Oakbrook Terrace, IL: The Joint Commission; September 2010. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2010 In the fifth report on t…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43523/psn-pdf
    October 29, 2014 - Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. October 29, 2014 Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. An…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845072/psn-pdf
    February 22, 2023 - A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. February 22, 2023 Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safety Sci. 2022;156:105899. doi:1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43998/psn-pdf
    May 28, 2015 - Bridging the gap between hospital and primary care: the pharmacist home visit. May 28, 2015 Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093-4. https://psnet.ahrq.gov/issue/bridgin…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42662/psn-pdf
    October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. October 16, 2013 de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60964/psn-pdf
    September 30, 2020 - ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020 Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2019. Am J Health Syst Pharm. 2020;77(13):1026-1050. doi:10.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43255/psn-pdf
    June 18, 2014 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. June 18, 2014 Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. BMJ Open. 20…
  16. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.18. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842425/psn-pdf
    January 11, 2023 - Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. January 11, 2023 Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022;2022:4815734. doi:10.1155/2022…
  18. Iowa2009 2010Sid Cd (pdf file)

    hcup-us.ahrq.gov/db/state/siddist/Iowa2009_2010SID_CD.pdf
    December 01, 2011 - The Iowa HCUP State Inpatient Databases (SID) for 2009 (dated June or August 2010) and 2010 (dated September 2011) contain misleading discharge data from four hospitals accounting for about 11 percent of the files. The affected discharge data include incorrect reporting of the principal procedure and incorrect orde…
  19. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/improvement-data.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Improvement Data Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Othe…
  20. hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_1.jsp
    January 01, 2009 - Facts and Figures Exhibit 4.1 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …