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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
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psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
August 30, 2023 - Study
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system.
Citation Text:
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…
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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing.
Citation Text:
Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002.
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psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health
November 25, 2020 - Commentary
Hospital-acquired SARS-CoV-2 infection: lessons for public health.
Citation Text:
Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399.
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psnet.ahrq.gov/issue/description-development-and-validation-canadian-paediatric-trigger-tool
January 25, 2017 - Study
Description of the development and validation of the Canadian Paediatric Trigger Tool.
Citation Text:
Matlow A, Cronin CMG, Flintoft V, et al. Description of the development and validation of the Canadian Paediatric Trigger Tool. BMJ Qual Saf. 2011;20(5):416-23. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/early-warning-scores-predict-noncritical-events-overnight-hospitalized-medical-patients
March 30, 2022 - Study
Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study.
Citation Text:
Bittman J, Nijjar AP, Tam P, et al. Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospe…
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psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
January 08, 2025 - Study
Assessing nourishment problems at a hospital: what can we learn from them?
Citation Text:
Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745.
C…
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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 …
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psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
March 02, 2022 - Study
What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives.
Citation Text:
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…
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psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
March 14, 2012 - Review
Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review.
Citation Text:
de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…
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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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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompco.jsp
June 01, 2024 - SEDD File Composition - Colorado
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Study
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge.
Citation Text:
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…
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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/mortality-and-morbidity-meetings-untapped-resource-improving-governance-patient-safety
June 25, 2014 - Study
Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety?
Citation Text:
Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):…
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psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
June 26, 2024 - Study
Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study.
Citation Text:
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nu…
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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/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
August 18, 2010 - Study
Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.
Citation Text:
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…