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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
June 01, 2016 - Newspaper/Magazine Article
Safety for all: integrated design for inpatient units.
Citation Text:
Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
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psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
December 13, 2017 - Commentary
An evolving hospital quality star rating system from CMS: aligning the stars.
Citation Text:
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
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psnet.ahrq.gov/node/44319/psn-pdf
November 23, 2016 - Patient and family engagement: a survey of US hospital
practices.
November 23, 2016
Herrin J, Harris KG, Kenward K, et al. Patient and family engagement: a survey of US hospital practices.
BMJ Qual Saf. 2016;25(3):182-9. doi:10.1136/bmjqs-2015-004006.
https://psnet.ahrq.gov/issue/patient-and-family-engagement-surv…
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psnet.ahrq.gov/node/39300/psn-pdf
February 17, 2010 - Patient safety outcomes in small urban and small rural
hospitals.
February 17, 2010
Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural
Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x.
https://psnet.ahrq.gov/issue/patient-safety-outcomes-small-urba…
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psnet.ahrq.gov/node/44333/psn-pdf
July 15, 2015 - One hospital's initiatives to encourage safe opioid use.
July 15, 2015
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs.
2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
This commentar…
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psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
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psnet.ahrq.gov/node/73344/psn-pdf
June 02, 2021 - Assessing patient safety culture in hospital settings.
June 2, 2021
Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health.
2021;18(5):2466. doi:10.3390/ijerph18052466.
https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings
Accurate measurement of …
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psnet.ahrq.gov/node/42404/psn-pdf
October 08, 2013 - How can we keep patients with dementia safe in our acute
hospitals? A review of challenges and solutions.
October 8, 2013
George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A
review of challenges and solutions. J R Soc Med. 2013;106(9):355-61. doi:10.1177/014107681347…
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psnet.ahrq.gov/node/40081/psn-pdf
December 21, 2014 - Electronic health record adoption by children's hospitals
in the United States.
December 21, 2014
Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in
the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234.
https://…
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psnet.ahrq.gov/node/33934/psn-pdf
March 02, 2011 - A hospitalization from hell: a patient's perspective on
quality.
March 2, 2011
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-
39.
https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
The author shares the unique perspectives of…
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psnet.ahrq.gov/node/74747/psn-pdf
February 09, 2022 - Diagnostic error in the pediatric hospital: a narrative
review.
February 9, 2022
Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp
Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040.
https://psnet.ahrq.gov/issue/diagnostic-error-ped…
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psnet.ahrq.gov/node/38105/psn-pdf
February 15, 2011 - Frequency of and risk factors for preventable medication-
related hospital admissions in the Netherlands.
February 15, 2011
Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication-
related hospital admissions in the Netherlands. Arch Intern Med. 2008;168(17):1890-1896.…
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psnet.ahrq.gov/node/41338/psn-pdf
September 24, 2016 - The association of workflow interruptions and hospital
doctors' workload: a prospective observational study.
September 24, 2016
Weigl M, Müller A, Vincent C, et al. The association of workflow interruptions and hospital doctors'
workload: a prospective observational study. BMJ Qual Saf. 2012;21(5):399-407. doi:10.1…
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psnet.ahrq.gov/node/40709/psn-pdf
October 17, 2011 - Diagnostic blood loss from phlebotomy and hospital-
acquired anemia during acute myocardial infarction.
October 17, 2011
Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired
anemia during acute myocardial infarction. Arch Intern Med. 2011;171(18):1646-53.
doi:10.1…
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psnet.ahrq.gov/node/37274/psn-pdf
December 23, 2011 - A simulation-based evaluation of methods to estimate the
impact of an adverse event on hospital length of stay.
December 23, 2011
Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of
an adverse event on hospital length of stay. Med Care. 2007;45(10 Supl 2):S108-15.
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psnet.ahrq.gov/node/37730/psn-pdf
June 12, 2008 - Cost of hospital-wide activities to improve patient safety
and infection control: a multi-centre study in Japan.
June 12, 2008
Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection
control: a multi-centre study in Japan. Health Policy (New York). 2008;87(1):100-1…
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psnet.ahrq.gov/node/44327/psn-pdf
August 26, 2015 - Safely Home: What Happens When People Leave Hospital
Care Settings?
August 26, 2015
London, UK: Healthwatch England; July 2015.
https://psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
Discharges are vulnerable periods for patients, often due to miscommunication, delays, and l…
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psnet.ahrq.gov/node/37116/psn-pdf
October 04, 2011 - Adopting National Quality Forum medication safe
practices: progress and barriers to hospital
implementation.
October 4, 2011
Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress
and barriers to hospital implementation. J Hosp Med. 2007;2(4). doi:10.1002/jhm.187.
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