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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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-…
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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…
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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…
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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…
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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…
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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 …
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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.…
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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…
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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…
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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…
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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…
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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…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_1.jsp
January 01, 2009 - Facts and Figures Exhibit 4.1
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