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psnet.ahrq.gov/node/38670/psn-pdf
November 25, 2009 - Assessing hospital safety on nights and weekends: the
SWAN tool.
November 25, 2009
Shulkin DJ. Assessing hospital safety on nights and weekends: the SWAN tool. J Patient Saf.
2009;5(2):75-8. doi:10.1097/PTS.0b013e3181a5db10.
https://psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool
This…
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psnet.ahrq.gov/node/35744/psn-pdf
July 15, 2010 - Medication safety infrastructure in critical-access
hospitals in Florida.
July 15, 2010
Winterstein AG, Hartzema AG, Johns TE, et al. Medication safety infrastructure in critical-access hospitals
in Florida. American Journal of Health-System Pharmacy. 2006;63(5). doi:10.2146/ajhp050345.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/41825/psn-pdf
November 21, 2012 - Supporting a psychiatric hospital culture of safety.
November 21, 2012
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr
Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
https://psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safe…
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psnet.ahrq.gov/node/38419/psn-pdf
February 18, 2009 - Outcomes after out-of-hospital endotracheal intubation
errors.
February 18, 2009
Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors.
Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016.
https://psnet.ahrq.gov/issue/outcomes-after-out-hospital-endo…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6. Data Collection Activities by Point in Time with Respect to Implementation and Type of Case
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the C…
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psnet.ahrq.gov/node/35507/psn-pdf
February 22, 2010 - The 100,000 Lives Campaign: crystallizing standards of
care for hospitals.
February 22, 2010
Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals.
Health Aff (Millwood). 2005;24(6):1560-70.
https://psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-c…
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psnet.ahrq.gov/node/37870/psn-pdf
June 25, 2008 - The cost of errors: Medicare's new policy could cost the
average hospital $23,772: study.
June 25, 2008
Wilson L.
https://psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
This article discusses the potential systematic and financial repercussions of Medicare's new poli…
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psnet.ahrq.gov/node/40261/psn-pdf
March 02, 2011 - Doctors' handovers in hospitals: a literature review.
March 2, 2011
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual
Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
https://psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
This review ex…
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - Patient and clinician perceptions of the trauma and acute care surgery hospitalization discharge transition … Patient navigation for traumatic brain injury promotes community re-integration and reduces re-hospitalizations
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-5-protocol-update-2023.pdf
January 01, 2023 - Prior inpatient hospitalization %
20. Participants’ trauma type(s)
21.
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - revealed that 33% had alternative diagnoses such as eczema or lymphedema, thus avoiding unnecessary hospitalization
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy-executive.pdf
December 01, 2009 - of severe bleeding, those that did included episodes of bleeding necessitating treatment,
including hospitalization
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-update_disposition-comments.pdf
October 07, 2011 - Please add, “… reduce cardiovascular death
and to reduce heart failure hospitalizations” to be consistent … for the combined endpoint of; death from
cardiovascular causes, myocardial infarction, stroke, and
hospitalization
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effectivehealthcare.ahrq.gov/sites/default/files/s16.pdf
October 01, 2007 - At the same
time, her excess risk over 10 years of a major GI bleed
(serious enough to require hospitalization
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs019092-artinian-final-report-2014.pdf
January 01, 2014 - 39.4
Years of Potential Life Lost
Heart Disease 2845.1 1226.3
Stroke 405.7 188.4
Hospitalization
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - When you categorize these as temporary harm, permanent harm, or requiring hospitalization or transfer
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - When you categorize these as temporary harm, permanent harm, or requiring hospitalization or transfer
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-family-engagement-protocol.pdf
December 31, 2019 - suggesting that a chronic disease self-management
program can improve health status while reducing hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - Medical Center
Director determines that such treatment or service will not interfere with
treatment or hospitalization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - intervention and caused temporary patient harm
F
An error occurred that resulted in initial or prolonged hospitalization