-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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-…
-
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…
-
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…
-
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…
-
psnet.ahrq.gov/node/47331/psn-pdf
October 17, 2018 - Description and factors associated with missed nursing
care in an acute care community hospital.
October 17, 2018
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care
community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630.
https:/…
-
psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
-
psnet.ahrq.gov/node/39135/psn-pdf
October 03, 2017 - Hidden mistakes in hospitals.
October 3, 2017
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
https://psnet.ahrq.gov/issue/hidden-mistakes-hospitals
This newspaper article reports that a Connecticut law intended to make hospital errors more transparent
has had the opposite effect by makin…
-
psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
-
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - temporary disability, and 86 were judged to require an office visit, emergency department visit, or hospitalization
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
December 01, 2017 - And on Scenario 3 then, often times in previous hospitalizations, the patient has had an indwelling urinary