-
psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
February 17, 2021 - Study
Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.
Citation Text:
Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…
-
psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative
December 29, 2014 - Study
Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data.
Citation Text:
Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hosp…
-
psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence
March 01, 2011 - Study
High reliability in a safety net hospital leading to operational excellence.
Citation Text:
Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236.
Co…
-
psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - Study
Emerging Classic
Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.
Citation Text:
Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropri…
-
psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
September 27, 2023 - Study
Psychological safety and infection prevention practices: results from a national survey.
Citation Text:
Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic…
-
psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
January 31, 2024 - Study
Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals.
Citation Text:
McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…
-
psnet.ahrq.gov/issue/changing-hospital-organisational-culture-improved-patient-outcomes-developing-and
June 17, 2020 - Study
Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.
Citation Text:
Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing a…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…
-
psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - In Conversation with…Robert M. Wachter, MD
October 1, 2008
In Conversation with…Robert M. Wachter, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
Editor's note: At the University of California, San Francisco, Robert M. Wachter, MD, is Professor and
Chief of the…
-
psnet.ahrq.gov/node/41748/psn-pdf
April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals.
April 5, 2013
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals. Med Care. 2012;50(7):599-605.
doi:10.1097/MLR.0b013e…
-
psnet.ahrq.gov/node/39620/psn-pdf
September 20, 2011 - The relationship between patients' perception of care and
measures of hospital quality and safety.
September 20, 2011
Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and
measures of hospital quality and safety. Health Serv Res. 2010;45(4):1024-40. doi:10.1111/j.1475-
…
-
psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - In Conversation With… Ashish K. Jha, MD, MPH
May 1, 2013
Also Read an Essay
Citation Text:
In Conversation With… Ashish K. Jha, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013…
-
psnet.ahrq.gov/node/43493/psn-pdf
February 18, 2015 - Hospital tones down alarms to reduce fatigue, enhance
safety.
February 18, 2015
Olson J.
https://psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety
Alarm fatigue has been recognized as a contributor to serious errors in hospitals. Reporting on how
nuisance alarms increase risks, this ne…
-
psnet.ahrq.gov/node/44192/psn-pdf
November 10, 2015 - Hospital ratings: a guide for the perplexed.
November 10, 2015
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2.
doi:10.1001/jama.2015.5269.
https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
Concerns have been raised about the variability of measures used to rate safety a…
-
psnet.ahrq.gov/node/45927/psn-pdf
April 12, 2017 - How redesigning the abrasive alarms of hospital
soundscapes can save lives.
April 12, 2017
Couch C. Fast Company. April 3, 2017.
https://psnet.ahrq.gov/issue/how-redesigning-abrasive-alarms-hospital-soundscapes-can-save-lives
Alarm frequency can contribute to distractions and stress in the hospital environment. Re…
-
psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…
-
psnet.ahrq.gov/node/45551/psn-pdf
November 30, 2016 - Parents' perspectives on "keeping their children safe" in
the hospital.
November 30, 2016
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in
the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
https://psnet.ahrq.gov/issue/parent…
-
psnet.ahrq.gov/node/48164/psn-pdf
August 14, 2019 - Patient safety issues continue to plague American
hospitals.
August 14, 2019
Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q.
2019;97(3):641-644. doi:10.1111/1468-0009.12406.
https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
High-quality,…
-
psnet.ahrq.gov/node/38364/psn-pdf
June 14, 2011 - Excess cost and length of stay associated with voluntary
patient safety event reports in hospitals.
June 14, 2011
Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary
Patient Safety Event Reports in Hospitals. American Journal of Medical Quality. 2009;24(1).
doi:10.117…
-
psnet.ahrq.gov/primer/medication-reconciliation
March 15, 2025 - Medication Reconciliation
Citation Text:
Medication Reconciliation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…